Provider Information for 1154789337
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Mrs. JENNIFER ANN LADD M.S.
Sex: Female
NPI: 1154789337
Last Updated: 2016-02-03
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1154789337 | ||||||||
| Enumeration Date | 2016-02-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 201 W SPRINGDALE AVE KNOXVILLE, TN 37917-5158 United States Phone: 865-637-9711 | Fax: | ||||||||
| Primary Practice Address | 201 W SPRINGDALE AVE KNOXVILLE, TN 37917-5158 United States Phone: 865-637-9711 | Fax: | ||||||||
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