Basic Information
| Provider Information | |||||||||
| NPI: | 1114919644 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ESS | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1005 DR D.B. TODD BLVD | ||||||||
| Address2: | MEHARRY MEDICAL COLLEGE, DEPT OF PEDIATRICS | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372083501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153276332 | ||||||||
| FaxNumber: | 6153275989 | ||||||||
| Practice Location | |||||||||
| Address1: | 1005 DR. D.B. TODD JR. BLVD | ||||||||
| Address2: | MEHARRY MEDICAL COLLEGE, DEPARTMENT OF PEDIATRICS | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 37208 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6153276332 | ||||||||
| FaxNumber: | 6153275989 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2005 | ||||||||
| LastUpdateDate: | 11/08/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 2002011472 | MO | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.