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General NPI Number Information
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NPI Number | 1548478936
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Entity Type | Individual
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Provider Name | JENNIFER J. LEE MD
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Gender | Female
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1195 OLD HICKORY BLVD STE 202
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City | BRENTWOOD
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State | TN
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Zip | 37027-4239
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Country | US
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Telephone | 615-835-3220
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Fax | 615-835-3235
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Provider Business Mailing Address
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Address Line | 1195 OLD HICKORY BLVD STE 200
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City | BRENTWOOD
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State | TN
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Zip | 37027-4239
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Country | US
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Telephone | 615-835-3220
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Fax | 615-835-3235
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | MD46202
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License Number State | TN
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