Individual
JENNIFER LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
501 20TH ST STE 606, KNOXVILLE, TN 37916-1863
(865) 546-8040
(865) 541-2787
Mailing address
971 LAKELAND DR STE 202, JACKSON, MS 39216-4607
(601) 362-1990
(601) 362-1990
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
14524
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
901389
MS
Other
Enumeration date
05/13/2009
Last updated
07/22/2019
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