Individual
DR. JENNIFER TAYLOR ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
180 OLD HICKORY BLVD STE L, JACKSON, TN 38305-2500
(731) 661-2750
Mailing address
180 OLD HICKORY BLVD STE L, JACKSON, TN 38305-2500
(731) 661-2750
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3109
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q009366
—
TN
Enumeration date
06/25/2013
Last updated
02/06/2023
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