Provider Demographics
NPI:1588537112
Name:DOSS, MAKENNA RAE (PA-C)
Entity type:Individual
Prefix:
First Name:MAKENNA
Middle Name:RAE
Last Name:DOSS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2707 JACKSBORO PIKE STE 1A
Mailing Address - Street 2:
Mailing Address - City:JACKSBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37757-2752
Mailing Address - Country:US
Mailing Address - Phone:423-907-8186
Mailing Address - Fax:
Practice Address - Street 1:2707 JACKSBORO PIKE STE 1A
Practice Address - Street 2:
Practice Address - City:JACKSBORO
Practice Address - State:TN
Practice Address - Zip Code:37757-2752
Practice Address - Country:US
Practice Address - Phone:423-907-8186
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant