Individual
DR. DAVID K JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 PEABODY AVE, MEMPHIS, TN 38104-4506
(901) 272-0003
(901) 272-7179
Mailing address
PO BOX 41527, MEMPHIS, TN 38174-1527
(901) 272-0003
(901) 272-7179
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13021
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020615
TENNCARE TLC
TN
05
—
3388963
—
TN
01
—
4025609
BLUE CROSS
TN
Enumeration date
11/21/2005
Last updated
03/05/2010
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