Provider Demographics
NPI:1669279618
Name:SADLOWSKI, JENNIFER L (FNP-BC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:SADLOWSKI
Suffix:
Gender:
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 W ARROWWOOD RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-5706
Mailing Address - Country:US
Mailing Address - Phone:703-228-9744
Mailing Address - Fax:
Practice Address - Street 1:765 WOODLAND TRACE LN
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6609
Practice Address - Country:US
Practice Address - Phone:888-551-2538
Practice Address - Fax:844-364-2629
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38313363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily