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1447972898
MALLORY LYNN JENNINGS
JOHNSON CITY, TN
NPI
1447972898
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Former Name
MALLORY LYNN KERKSTRA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 32226)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
MRS. MALLORY LYNN JENNINGS FNP
2898 BOONES CREEK RD
JOHNSON CITY, TN 37615-4975
Phone number: 423-262-0112
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Mailing Address
MRS. MALLORY LYNN JENNINGS FNP
3628 CREST RD
KINGSPORT, TN 37664-4014
Phone number: 423-367-1509
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