Individual
JODI LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6650 EASTGATE BLVD STE 104, LEBANON, TN 37090-6018
(615) 900-5451
(615) 900-5440
Mailing address
1323 CHRISTINE DR, LEBANON, TN 37087-5697
(615) 504-9710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28222
TN
Other
Enumeration date
12/08/2020
Last updated
03/03/2022
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