Individual
MRS. JENNIFER R FARDINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
1477 TINY TOWN RD # 252, CLARKSVILLE, TN 37042-7202
(928) 919-4566
Mailing address
1477 TINY TOWN RD # 252, CLARKSVILLE, TN 37042-7202
(928) 919-4566
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
99102
TX
Other
Enumeration date
09/21/2010
Last updated
09/06/2018
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