Individual
MS. JENNIFER FARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D., LAT, ATC
Contact information
Practice address
1050 UNION UNIVERSITY DR, BOX 1864, JACKSON, TN 38305-3656
(731) 661-5024
Mailing address
124 ENFIELD CV, MEDINA, TN 38355-6932
(731) 661-5024
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000001419
TN
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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