Jenna Nicole Sanders, M.D.
Pediatrics in Clarksville, IN. Individual provider (NPI-1).
NPI number1437458114
StatusActive
Last updated in NPPESFeb 9, 2023
Details
- NPI
- 1437458114
- Entity type
- Individual (NPI-1)
- Name
- Jenna Nicole Sanders
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2011
- Certification date
- Feb 9, 2023
- Last updated
- Feb 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 01073708A | IN | Yes |
| 208000000X | Pediatrics | 47001 | KY |
Other names
- Jenna Nicole Gingerich (Former Name)
Practice location
2051 Clevidence Blvd Ste CClarksville, IN 47129-2278
Phone 812-280-6623 · Fax 812-280-6627
Mailing address
Po Box 776879Chicago, IL 60677-6879
Phone 502-588-9490
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All 9 Pediatrics Physician providers in Clarksville · All 572 providers in Clarksville
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