Individual
JENNIFER KENEALLY GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
99 MARKET CENTER DR, COLLIERVILLE, TN 38017-6913
(901) 861-9610
(901) 861-9611
Mailing address
1752 JOHN RIDGE DR, COLLIERVILLE, TN 38017-7606
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27127
TN
Other
Enumeration date
01/26/2020
Last updated
05/09/2022
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