Individual
DR. JENNIFER LEA SAUCEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1829 CROWE LN, NEWPORT, TN 37821-7264
(423) 623-0653
Mailing address
1829 CROWE LN, NEWPORT, TN 37821-7264
(423) 623-0653
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012-00689
NC
208000000X
Pediatrics Physician
Primary
MD51151
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5921176
—
NC
05
—
Q005159
—
TN
Enumeration date
05/21/2009
Last updated
02/22/2016
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