Individual
MRS. JENNIFER FOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
366 PARK CT N, LA VERGNE, TN 37086-2644
(615) 566-6866
Mailing address
366 PARK CT N, LA VERGNE, TN 37086-2644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
186086
TN
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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