Basic Information
| Provider Information | |||||||||
| NPI: | 1730171885 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PRIGG | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | NOEL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 606 E SPRING ST | ||||||||
| Address2: | SUITE A | ||||||||
| City: | COOKEVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 385013540 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9315266248 | ||||||||
| FaxNumber: | 9315266250 | ||||||||
| Practice Location | |||||||||
| Address1: | 770 NORTHPOINT PKWY STE 200 | ||||||||
| Address2: | |||||||||
| City: | WEST PALM BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334071901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5612757604 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2005 | ||||||||
| LastUpdateDate: | 04/10/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 1687 | TN | N | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207V00000X | OS16588 | FL | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.