Jennifer Stewart Blakely Lou
Pediatric Dentist
875 Union Ave Department Of Pediatric Dentistry
Memphis
, Tennessee 38103-3513
Jennifer Stewart Blakely Lou
Pediatric Dentist
875 Union Ave Department Of Pediatric Dentistry
Memphis
, Tennessee 38103-3513
(901) 448-3817
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Jennifer Stewart Blakely Lou
- 875 Union Ave Department Of Pediatric Dentistry
- Memphis, TN
- Zip : 38103-3513
- Fax : (901) 448-3817
- Phone : (901) 448-6260
Second Address
- Jennifer Stewart Blakely Lou
- 875 Union Ave Department Of Pediatric Dentistry
- Memphis, TN
- Zip : 38103-3513
- Fax : (901) 448-3817
- Phone : (901) 448-6260
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FAQs
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What type of doctor is Jennifer Stewart Blakely Lou
In what state does Jennifer Stewart Blakely Lou practice in?
Where is Jennifer Stewart Blakely Lou ’s practice located?
What is Jennifer Stewart Blakely Lou ’s gender?
Is Jennifer Stewart Blakely Lou a sole practitioner?
Is Jennifer Stewart Blakely Lou accepting new patients?
What languages does Jennifer Stewart Blakely Lou speak?
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Does Jennifer Stewart Blakely Lou offers telemedicine?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0221X | Pediatric Dentist | 0401413498 | VA |
| N | 1223P0221X | Pediatric Dentist | 3921 | AR |
| Y | 1223P0221X | Pediatric Dentist | 9605 | TN |
National Provider Identifier
| NPI | 1033370457 |
|---|---|
| Provider Name | Jennifer Stewart Blakely Lou |
| First Address | Memphis, TN 38103-3513 |
| Second Address | Memphis, TN 38103-3513 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/06/2008 |
| Last Update Date | 17/02/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.