Individual
JENNIFER MARIE O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 PHYSICIANS WAY STE 110, LEBANON, TN 37090-8107
(615) 547-6700
(615) 547-6707
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3171
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
74736
TN
207X00000X
Orthopaedic Surgery Physician
A179261
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
74736
TN
207XS0117X
Orthopaedic Surgery of the Spine Physician
99747
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2019
Last updated
03/16/2026
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