Individual
JENNIFER SUPPLE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7535 POPLAR AVE STE 101, GERMANTOWN, TN 38138-3886
(901) 930-0870
(901) 930-0875
Mailing address
10356 TWISTING PINE LN, LAKELAND, TN 38002-4685
(901) 550-0453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2638
TN
Other
Enumeration date
04/28/2009
Last updated
06/05/2023
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