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Individual

DR. JENNIFER DAYLE MINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6625 LENOX PARK DR STE 101, MEMPHIS, TN 38115-4397
(901) 683-0024
(901) 683-0086
Mailing address
2860 COVINGTON PIKE, MEMPHIS, TN 38128-8090
(901) 252-6034
(901) 252-6048

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39459
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5440563
TN
Enumeration date
09/08/2005
Last updated
01/22/2025
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