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Search › Tennessee › 363A00000X

Jenna Fowlkes, PA-C

NPI 1205132198 · on the registry since 2011

Practice

Address
10215 Kingston Pike Ste 100
Knoxville, TN 37922
Phone
(865) 691-0733
Fax
(865) 541-1727
Organisation at this address
Summit Medical Group, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
SC, TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee