Individual
JENISA SHRESTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
Mailing address
294 SUMMAR DR, JACKSON, TN 38301-3915
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01097986A
IN
207P00000X
Emergency Medicine Physician
Primary
71257
TN
207Q00000X
Family Medicine Physician
01097986A
IN
207Q00000X
Family Medicine Physician
4301509835
MI
Other
Enumeration date
05/19/2021
Last updated
10/05/2025
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