Individual
JENNIFER KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1324 WOLF PARK DR, GERMANTOWN, TN 38138-1741
(901) 755-9110
Mailing address
PO BOX 381468, GERMANTOWN, TN 38183-1468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24248
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036406
—
TN
Enumeration date
06/09/2014
Last updated
02/10/2026
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