Individual
JENNIFER LASHELLE KENNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
(601) 984-6601
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5540
(601) 984-5535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26977
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00733373
—
MS
Enumeration date
05/26/2015
Last updated
09/17/2019
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