Provider Demographics
NPI:1336331719
Name:LANE, JENNIFER (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:LANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:357 RIVERSIDE DR STE 260
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-8974
Mailing Address - Country:US
Mailing Address - Phone:615-819-4650
Mailing Address - Fax:615-622-8683
Practice Address - Street 1:357 RIVERSIDE DR STE 260
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-8974
Practice Address - Country:US
Practice Address - Phone:615-819-4650
Practice Address - Fax:615-622-8683
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN47994207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine