Individual
JARED SHELDON PENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2205 MCCALLIE AVE, CHATTANOOGA, TN 37404-3230
(423) 698-2435
Mailing address
19 SUMMER DR, RINGGOLD, GA 30736-3258
(928) 358-2832
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34243
TN
Other
Enumeration date
07/07/2023
Last updated
10/04/2023
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