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General NPI Number Information
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NPI Number | 1457062580
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Entity Type | Organization
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Legal Business Name | JENKS FAMILY MEDICINE, PLLC
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 3908 TENNESEE AVE STE 110
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City | CHATTANOOGA
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State | TN
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Zip | 37409-1506
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Country | US
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Telephone | 423-373-5357
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 TENNESEE AVE STE 110
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City | CHATTANOOGA
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State | TN
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Zip | 37409-1506
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Country | US
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Telephone | 423-373-5357
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR, NURSE PRACTITIONER
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Name | ANNE JENKS
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Credential | NP
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Telephone | 423-373-5457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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