Individual
JENNIFER C SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5480 GOODMAN RD STE 1, OLIVE BRANCH, MS 38654-7902
(662) 874-6507
(662) 932-8197
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R817657
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05102521
—
MS
05
—
Q044388
—
TN
Enumeration date
01/31/2014
Last updated
02/23/2024
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