Most Relevant Information
Provider Data
| NPI Number: | 1003038787 |
| Provider Name: | JENNIFER DENISE KOZLICA RN, MPH |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC1500X |
| Specialty: | Registered Nurse |
| License Number: | 0000124675 |
Most Important Dates
| Enumeration Date: | 05/03/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
540 MCCALLIE AVE
SUITE 450
CHATTANOOGA
TN
374022089
Practice Location Phone/Fax
| Phone: | 4236345831 |
| Fax: | 4236343139 |
Provider Mailing Location
110 LA PORTE DR
CHATTANOOGA
TN
374151304
Provider Mailing Phone/Fax
| Phone: | 4232800470 |
| Fax: | 4236343139 |