Individual
JENIFER L TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 N HIGHLAND AVE, MURFREESBORO, MURFREESBORO, TN 37130
(800) 596-3455
(615) 396-6963
Mailing address
ONE VANTAGE WAY, NASHVILLE, NASHVILLE, TN 37228
(615) 329-4020
(615) 329-9479
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
41779
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30000361
—
TN
Enumeration date
01/04/2007
Last updated
03/24/2008
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