Individual
DR. JENNIFER ANN DOMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 23RD AVE N, SUITE 450, NASHVILLE, TN 37203-1534
(615) 342-7339
(615) 342-7340
Mailing address
330 23RD AVE N, SUITE 450, NASHVILLE, TN 37203-1534
(615) 342-7339
(615) 342-7340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD39424
TN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD39424
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-0476822
TAX ID
—
Enumeration date
07/11/2006
Last updated
02/10/2022
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