Individual
DR. JACLYN TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
714 GREEN VALLEY RD, GREENSBORO, NC 27408-7018
(336) 370-8100
Mailing address
5328 W MARKET ST APT 2E, GREENSBORO, NC 27409-4202
(847) 477-3027
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5875
NC
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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