Individual
JENNIFER RENE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
205 HOSPITAL DRIVE, SUITE A, MCKENZIE, TN 38201
(731) 352-7907
(731) 352-4459
Mailing address
205 HOSPITAL DRIVE, SUITE A, MCKENZIE, TN 38201
(731) 352-7907
(731) 352-4459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21548
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3380640
GROUP MEDICAID
TN
01
—
3380649
MEDICARE GROUP
TN
Enumeration date
08/10/2016
Last updated
01/09/2017
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