Kidd, Jennifer

Kidd, Jennifer is an individual health care provider with primary practice located at 1417 Monroe Ave , Memphis TN 38104-3634. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kidd, Jennifer can be contacted via phone (901) 272-7200.

Contact Information

Primary practice address
1417 Monroe Ave Memphis TN 38104-3634
Phone: (901) 272-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRNCNP18236 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP9299541 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 24248 Tennessee

Profile Details

NPI number 1174936009
LBN Legal business name Kidd, Jennifer
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2014
Last updated Jun 27th, 2024 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174936009 NPPES
Ohio MEDICAID 0149689

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