Individual
JENNIFER DENISE KOZLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MPH
Contact information
Practice address
540 MCCALLIE AVE, SUITE 450, CHATTANOOGA, TN 37402-2089
(423) 634-5831
(423) 634-3139
Mailing address
110 LA PORTE DR, CHATTANOOGA, TN 37415-1304
(423) 280-0470
(423) 634-3139
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000124675
TN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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