| Doctor Name: | MS. BETH JENNINGS |
| NPI Number: | 1316359003 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 18567 |
| Business Practice Address: | 5249 Hwy 67 East Mountain City, TN - 37683 |
| Business Phone Number: | 4237277387 |
| Business Fax Number: | |
| Mailing Address: | 2144 Highway 421 N, MOUNTAIN CITY |
| State: | TN |
| Postal Code: | 376836141 |
| Phone Number: | 4232133002 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2014 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18567 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |