Provider Demographics
NPI:1083039630
Name:MCNEW, JILLIANE LEE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JILLIANE
Middle Name:LEE
Last Name:MCNEW
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:JILLIANE
Other - Middle Name:LEE
Other - Last Name:SEXTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 NORTH MAIN STREET
Mailing Address - Street 2:ROOM 105
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37716
Mailing Address - Country:US
Mailing Address - Phone:865-259-6900
Mailing Address - Fax:865-259-6902
Practice Address - Street 1:100 NORTH MAIN STREET
Practice Address - Street 2:ROOM 105
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716
Practice Address - Country:US
Practice Address - Phone:865-259-6900
Practice Address - Fax:865-259-6902
Is Sole Proprietor?:No
Enumeration Date:2014-02-19
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN189383163W00000X
TNAPN18379363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse