Individual
JENNER CHANG BOVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
796 RIDGEWAY AVE, SIGNAL MOUNTAIN, TN 37377-3067
(432) 886-3269
Mailing address
558 DEER VALLEY DR, HIXSON, TN 37343-2607
(256) 479-2988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
43104
TN
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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