Provider Demographics
NPI:1093431959
Name:DUNN, JESSICA GREENWAY (FNP)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:GREENWAY
Last Name:DUNN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ANNE
Other - Last Name:GREENWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:159 FRANK L DIGGS DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:TN
Mailing Address - Zip Code:37716-6953
Mailing Address - Country:US
Mailing Address - Phone:865-647-3300
Mailing Address - Fax:865-647-3309
Practice Address - Street 1:159 FRANK L DIGGS DR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:TN
Practice Address - Zip Code:37716-6953
Practice Address - Country:US
Practice Address - Phone:865-647-3300
Practice Address - Fax:865-647-3309
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN30751363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily