| Jennifer P Fontenot, DNP, APRN, NP-C | |
|
2440 Julian Dr Ne, Cleveland, TN 37312-5433 | |
| (423) 250-5551 | |
| (423) 648-1115 |
| Full Name | Jennifer P Fontenot |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 2440 Julian Dr Ne, Cleveland, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427288422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 14281 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 14281 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Chattanooga | Chattanooga, TN | Home health agency |
| Rhea Medical Center | Dayton, TN | Hospital |
| Starr Regional Medical Center Athens | Athens, TN | Hospital |
| Tennova Health Care-cleveland | Cleveland, TN | Hospital |
| Memorial Healthcare System, Inc | Chattanooga, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scenic City Rheumatology, Pllc | 4183658693 | 5 |
| Entity Name | Scenic City Rheumatology, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871647800 PECOS PAC ID: 4183658693 Enrollment ID: O20050923000757 |
| Entity Name | Dx Mso Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225381148 PECOS PAC ID: 7719131101 Enrollment ID: O20130213000017 |
| Entity Name | Kaful Double Portion Family Practice, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386049476 PECOS PAC ID: 7416273735 Enrollment ID: O20150304001610 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer P Fontenot, DNP, APRN, NP-C 6145 Shallowford Rd Ste 102, Chattanooga, TN 37421-7808 Ph: (423) 893-6890 | Jennifer P Fontenot, DNP, APRN, NP-C 2440 Julian Dr Ne, Cleveland, TN 37312-5433 Ph: (423) 250-5551 |