Individual
JENNAH JANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(219) 201-9671
Mailing address
4731 CENTENNIAL BLVD APT 465, NASHVILLE, TN 37209-1992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6054
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
09/15/2021
Last updated
09/19/2021
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