Provider Demographics
NPI:1730171885
Name:PRIGG, JENNIFER NOEL (DO)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:NOEL
Last Name:PRIGG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 E SPRING ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38501-3540
Mailing Address - Country:US
Mailing Address - Phone:931-526-6248
Mailing Address - Fax:931-526-6250
Practice Address - Street 1:770 NORTHPOINT PKWY STE 200
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1901
Practice Address - Country:US
Practice Address - Phone:561-275-7604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1687207V00000X
FLOS16588207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS2479OtherMEDICARE HFMG
FL126626000Medicaid