Provider Demographics
NPI:1922289362
Name:STRIBLING, JENNIFER TILLMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:TILLMAN
Last Name:STRIBLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1623 GALLERIA BLVD
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2926
Mailing Address - Country:US
Mailing Address - Phone:615-771-8800
Mailing Address - Fax:615-771-5664
Practice Address - Street 1:1623 GALLERIA BLVD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2926
Practice Address - Country:US
Practice Address - Phone:615-771-8800
Practice Address - Fax:615-771-5664
Is Sole Proprietor?:No
Enumeration Date:2007-11-14
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000049052207K00000X
VA0101243424390200000X, 208M00000X
NC127903208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I037104Medicare PIN
VA018280V16Medicare PIN