Individual
MRS. JENNIFER MCFADDIN FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
608 ENON SPRINGS RD E, SMYRNA, TN 37167-4410
(615) 220-5432
(615) 220-5115
Mailing address
402 CAMBRIDGE RD, LEBANON, TN 37087-4208
(615) 453-8316
(615) 220-5432
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10875
TN
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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