JARED SHELDON PENNER

CHATTANOOGA, TN
NPI1235817529
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  34243)
Enumeration Date2023-07-07
Last Update Date2023-10-04
Business Address
JARED SHELDON PENNER
2205 MCCALLIE AVE
CHATTANOOGA, TN 37404-3230
Phone number: 423-698-2435
Mailing Address
JARED SHELDON PENNER
19 SUMMER DR
RINGGOLD, GA 30736-3258
Phone number: 928-358-2832
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