Individual
JENNIFER SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC, SLP
Contact information
Practice address
514 S BROWN ST STE 600, SPRINGFIELD, TN 37172-2948
(161) 538-2050
(615) 382-0500
Mailing address
514 S BROWN ST STE 600, SPRINGFIELD, TN 37172-2948
16153820500
(615) 382-0501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6002
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029191
—
TN
Enumeration date
06/08/2017
Last updated
09/27/2018
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