Provider Demographics
NPI:1780139832
Name:LINDEMANN, JENNY (MSW)
Entity type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:LINDEMANN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2623 HOLLY ROCK DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-2828
Mailing Address - Country:US
Mailing Address - Phone:810-407-1858
Mailing Address - Fax:
Practice Address - Street 1:2623 HOLLY ROCK DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-2828
Practice Address - Country:US
Practice Address - Phone:810-407-1858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-18
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other