Individual
MRS. JENNIFER CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
511 MARKET BLVD STE 103, COLLIERVILLE, TN 38017-2360
(901) 850-1150
(901) 850-1102
Mailing address
1139 MACON RIDGE DR, COLLIERVILLE, TN 38017-6168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2208
TN
Other
Enumeration date
10/09/2012
Last updated
04/06/2023
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