| Doctor Name: | JENNIFER CARMAN |
| NPI Number: | 1568865079 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 3008713 |
| Business Practice Address: | 491 Sage Rd N Ste 200 White House, TN - 371889361 |
| Business Phone Number: | 6156727122 |
| Business Fax Number: | |
| Mailing Address: | 125 Hollands Way, PORTLAND |
| State: | TN |
| Postal Code: | 371482610 |
| Phone Number: | 6156338706 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2014 |
| NPI Last Update Date: | 09/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3008713 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |