Provider Demographics
NPI:1700242088
Name:CHRISMAN, JANEY LYNN (NP)
Entity Type:Individual
Prefix:
First Name:JANEY
Middle Name:LYNN
Last Name:CHRISMAN
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 1:1940 ALCOA HWY STE E210
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-2264
Mailing Address - Country:US
Mailing Address - Phone:865-524-7471
Mailing Address - Fax:865-305-6563
Practice Address - Street 1:1940 ALCOA HWY STE E210
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-2264
Practice Address - Country:US
Practice Address - Phone:865-524-7471
Practice Address - Fax:865-305-6563
Is Sole Proprietor?:No
Enumeration Date:2016-01-02
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20354363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ019562Medicaid
VA1700242088Medicaid
TN10350I9082Medicare PIN