Individual
JENNIFER LEIGH SLATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
109 WILLIAMSBURG BLVD, TULLAHOMA, TN 37388-5412
(931) 581-8693
Mailing address
109 WILLIAMSBURG BLVD, TULLAHOMA, TN 37388-5412
(931) 581-8693
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
27230
TN
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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