Provider Demographics
NPI:1710201983
Name:LOVEDAY, JENNIFER DANIA (FNP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:DANIA
Last Name:LOVEDAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:DANIA
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:208 PRINCE ST
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-3821
Mailing Address - Country:US
Mailing Address - Phone:865-774-7481
Mailing Address - Fax:865-908-2455
Practice Address - Street 1:208 PRINCE ST
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-3821
Practice Address - Country:US
Practice Address - Phone:657-747-4818
Practice Address - Fax:865-908-2455
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN14936363LF0000X, 363L00000X
GARN221754363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPENDINGMedicaid
GA202I500915Medicare PIN
TN103I506568Medicare PIN
P00843223OtherMEDICARE RR