Individual
JENNIFER P LEE
Active
Individual
JENNIFER P LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29678
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3827727
—
TN
01
—
4151198
BLUE CROSS
TN
01
—
5965702
AETNA
—
01
—
6402780800
KENTUCKY MEDICAID
KY
01
—
P00395864
RAILROAD MEDICARE
—
Enumeration date
06/08/2006
Last updated
03/31/2017
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