Individual
JENNIFER LYNETTE NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
714 W BEECH ST, LA FOLLETTE, TN 37766-3468
(423) 912-3007
Mailing address
714 W BEECH ST, LA FOLLETTE, TN 37766-3468
(423) 912-3007
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
64202
TN
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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