Individual
DR. TYLER JEFFORY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
625 N RIVERSIDE DR, CLARKSVILLE, TN 37040-3127
(931) 542-9420
(931) 542-9422
Mailing address
625 N RIVERSIDE DR, CLARKSVILLE, TN 37040-3127
(931) 542-9420
(931) 542-9422
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038012266
IL
111N00000X
Chiropractor
Primary
2780
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038012266
LICENSE #
IL
01
—
2780
TENNESSEE LICENSE
TN
Enumeration date
10/01/2012
Last updated
12/06/2014
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