Individual
JENNIFER PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
854 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-4430
(615) 461-0268
Mailing address
200 FIVE OAKS CT APT 909, LEBANON, TN 37087-1602
(716) 708-9793
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/22/2023
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