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Individual

DR. JENNA TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMD

Contact information

Practice address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3100
(302) 858-7877
Mailing address
1028 SADDLESTONE DR, HERMITAGE, TN 37076-2971
(302) 858-7877

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46690
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
311569568
TAX ID
Enumeration date
08/10/2022
Last updated
08/10/2022
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