Provider Demographics
NPI:1750864583
Name:MCCONNELL, JENNIFER LOU (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:LOU
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:LOU
Other - Last Name:SCHUMACHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 HILL ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:TN
Mailing Address - Zip Code:37620-2140
Mailing Address - Country:US
Mailing Address - Phone:423-612-5399
Mailing Address - Fax:
Practice Address - Street 1:800 HILL ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:TN
Practice Address - Zip Code:37620-2140
Practice Address - Country:US
Practice Address - Phone:423-612-5399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-07
Last Update Date:2018-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor