Jennie Clark, PA C

ActiveIndividual ProviderPhysician Assistant
NPI issued: August 24, 2005

Quick Facts

NPI Number
1114910247
TypeIndividual
StatusActive
SpecialtyPhysician Assistant
Taxonomy363A00000X — Physician Assistant
Phone
(865) 305-6955
StateTN

NPI Validation Status: Verified

Valid 10-digit NPI number (1114910247)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 24, 2005)
Data source: CMS NPPES

Provider Overview

JENNIE CLARK, PA C is a Physician Assistant provider based in Knoxville, TN who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114910247
Provider TypeIndividual Provider
GenderFemale
CredentialPA C
StatusActive
Enumeration DateAugust 24, 2005

Practice Location

CityKnoxville
StateTN
ZIP Code37920-2266
Phone(865) 305-6955

Specialties & Licenses

★ Primary
SpecialtyPhysician Assistant
Taxonomy Code363A00000X
License StateTN

Mailing Address

CityKnoxville
StateTN
ZIP Code37920-2266
Phone(865) 305-6955
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1114910247 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1114910247for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1114910247 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Physician Assistant

Physician Assistants (PAs) practice medicine under the supervision of a licensed physician, conducting physical exams, diagnosing conditions, prescribing treatments, and assisting in surgeries.

📊
158,607
Physician Assistant Providers in the US

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People Also Ask

What is Jennie Clark's NPI number?
Jennie Clark's NPI number is 1114910247, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jennie Clark's NPI currently active?
Yes, Jennie Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Jennie Clark specialize in?
Jennie Clark specializes in Physician Assistant. The healthcare taxonomy code associated with this specialty is 363A00000X.
Where does Jennie Clark practice?
Jennie Clark practices in Knoxville, TN 37920-2266.
When was Jennie Clark's NPI issued?
Jennie Clark's NPI was issued on August 24, 2005.
What is Jennie Clark's provider type?
Jennie Clark is registered as an Individual Provider under CMS NPI Type 1.