Provider Demographics
NPI:1861660342
Name:SAVAGE, JENNIFER M (NP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:M
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 MAYNARDVILLE HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:MAYNARDVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37807-3247
Mailing Address - Country:US
Mailing Address - Phone:865-745-1258
Mailing Address - Fax:865-745-1276
Practice Address - Street 1:2945 MAYNARDVILLE HWY STE 3
Practice Address - Street 2:
Practice Address - City:MAYNARDVILLE
Practice Address - State:TN
Practice Address - Zip Code:37807-3247
Practice Address - Country:US
Practice Address - Phone:865-745-1258
Practice Address - Fax:865-745-1276
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN13186363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily