Individual
DR. JENNIFER J PITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250
(901) 722-3280
Mailing address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250
(901) 722-3280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2490
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4142464
BLUE CROSS BLUE SHIELD
TN
Enumeration date
01/08/2007
Last updated
11/04/2010
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