Individual
JENNIFER TRAVIS LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIE, FORT CAMPBELL, KY 42223-5349
(270) 798-8727
(270) 798-8824
Mailing address
650 JOEL DRIVE, DEPT OF BH, FT. CAMPBELL, KY 42223
(270) 798-5931
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
57430
TN
Other
Enumeration date
12/27/2006
Last updated
04/23/2025
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