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

Jennie S Clark, PAC

Individual provider Physician Assistant · NPI 1114910247

Jennie S Clark, PAC is a Physician Assistant in Knoxville, Tennessee. Graduated from University of South Carolina School of Medicine in 2003, 23 years ago. Practices with University Health System, Inc, a 529-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
23
Trained at
University of South Carolina School of Medicine
Licensed in
TN
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1940 Alcoa Hwy Ste E260
Knoxville, TN 37920-2266
Phone: (865) 305-6955
Fax: (865) 305-8238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1120 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 1120 (TN)

Record details

NPI number1114910247
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESNovember 20, 2023
Certification dateNovember 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice University Health System, Inc. — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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