| Doctor Name: | DR. JENNIFER DAWN MCLEVY-BAZZANELLA |
| NPI Number: | 1003890807 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 436967 |
| Business Practice Address: | 51 N Dunlap St G10 Memphis, TN - 381054625 |
| Business Phone Number: | 9012874400 |
| Business Fax Number: | 9012875047 |
| Mailing Address: | 51 N Dunlap St, G145 MEMPHIS |
| State: | TN |
| Postal Code: | 381054625 |
| Phone Number: | 9012875928 |
| Fax Number: | 9012666455 |
| NPI Enumeration Date: | 12/05/2005 |
| NPI Last Update Date: | 11/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YP0228X |
| License Number: | 436967 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Pediatric Otolaryngology |
| Taxonomy Definition: | A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |