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Andrea Jennifer Bodale, MD
Student in an Organized Health Care Education/Training Program in Jackson, Tennessee
NPI 1710563796

Andrea Jennifer Bodale is a Student in an Organized Health Care Education/Training Program based in Jackson, TN. Andrea Jennifer Bodale practices in Jackson, TN and has the professional credentials of MD. The NPI Number for Andrea Jennifer Bodale is 1710563796 and holds a License No. (Tennessee).

The current practice location address for Andrea Jennifer Bodale is 294 Summar Dr, Jackson, TN and can be reached out via phone at 731-423-1932 and via fax at 731-660-8739. You can also correspond with Andrea Jennifer Bodale through the mailing address at 294 SUMMAR DR, JACKSON, TN - 38301-3915 (mailing address contact number: 731-423-1932).

Location: 294 Summar Dr, Jackson, TN, 38301-3915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710563796
Provider Name
Andrea Jennifer Bodale
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
294 Summar Dr, Jackson, TN, 38301-3915
Phone Number
731-423-1932
Fax Number
731-660-8739
Provider Enumeration Date
03/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
294 Summar Dr
City
Jackson
State
Tennessee
Zip
38301-3915
Phone Number
731-423-1932
Fax Number
731-660-8739
person
Provider Business Mailing Address Details
Address
294 Summar Dr
City
Jackson
State
Tennessee
Zip
38301-3915
Phone Number
731-423-1932
Fax Number
731-660-8739
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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.
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