Individual
MRS. JENNIFER LAUREN RICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1734 MADISON AVE, MEMPHIS, TN 38104-6414
(901) 489-1878
Mailing address
1734 MADISON AVE, MEMPHIS, TN 38104-6414
(901) 489-1878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21783
TN
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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