| Doctor Name: | DR. JENNIFER ANDERSON MADDRON |
| NPI Number: | 1134308646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 121808 |
| Business Practice Address: | 627 Middle Creek Rd Sevierville, TN - 378625014 |
| Business Phone Number: | 8653654233 |
| Business Fax Number: | 8653654234 |
| Mailing Address: | Po Box 4578, SEVIERVILLE |
| State: | TN |
| Postal Code: | 378644578 |
| Phone Number: | 8653654233 |
| Fax Number: | 8653654234 |
| NPI Enumeration Date: | 10/31/2007 |
| NPI Last Update Date: | 07/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 121808 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |