Jennifer D. Stanfield in Chattanooga - Physician Assistant

Jennifer D. Stanfield - NPI 1790701209

Jennifer D. Stanfield is a Physician Assistant in Chattanooga, Tennessee. Jennifer D. Stanfield practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer D. Stanfield is 1790701209. The last update date is 2007-11-20.

Jennifer D. Stanfield's current location address is 910 Blackford St, Chattanooga, Tennessee. You can contact this provider via phone number 4237786011 and fax number 8655398008. The mailing address for Jennifer D. Stanfield is 910 Blackford St, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer D. Stanfield
Address 910 Blackford St, Chattanooga, Tennessee
Phone Number 4237786011
Fax Number 8655398008
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1790701209
Provider Enumeration Date 2006-07-15
Last Updated Date 2007-11-20

Provider Mailing Address Detail

Address 910 Blackford St
City Chattanooga
State Tennessee (TN)
Post Code 374031405
Phone Number 4237786011
Fax Number 8655398008

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA0000001060
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4104212 TN BLUE CROSS

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FAQs about Jennifer D. Stanfield

Could you please provide the complete physical location address of Jennifer D. Stanfield?

The Jennifer D. Stanfield is physically situated at 910 Blackford St, in the city of Chattanooga, state of TN, with the postal code 374031405.

What is the area of specialization for Jennifer D. Stanfield, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jennifer D. Stanfield is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

When was the Jennifer D. Stanfield's 1790701209 issued?

The Jennifer D. Stanfield's 1790701209 was issued on 2006-07-15.

On what date did the Centers for Medicare & Medicaid Services issue the 1790701209 to Jennifer D. Stanfield?

The Jennifer D. Stanfield received its 1790701209 assignment from the Centers for Medicare & Medicaid Services on 2006-07-15.

When was the Jennifer D. Stanfield's information last updated?

The Jennifer D. Stanfield's information was last updated on 2007-11-20.

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