Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jarvis Ethan Pennington

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023954716

Jarvis Ethan Pennington is a Student in an Organized Health Care Education/Training Program in Bristol, Tennessee. Licensed in Tennessee. Registered with an NPI since 2026.

Licensed in
TN
In the registry since
2026

Practice location Address checks out

208 Medical Park Blvd
Bristol, TN 37620-7343
Phone: (423) 989-4050
Fax: (423) 990-3044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (TN)

Record details

NPI number1023954716
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 26, 2026

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