Individual
JENNIFER HOPE KETTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 725-5846
Mailing address
6060 PRIMACY PKWY, SUITE 241, MEMPHIS, TN 38119-5745
(901) 725-5846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000135833
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
20318
TN
Other
Enumeration date
03/28/2015
Last updated
12/30/2016
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