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Organization
NORTH JACKSON FAMILY CLINIC INC
Active
Organization
NORTH JACKSON FAMILY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BRYANT FNP (OWNER)
(731) 668-7375
Entity
Organization
Contact information
Practice address
1004 GREYSTONE SQUARE, JACKSON, TN 38305
(731) 668-7375
Mailing address
1004 GREYSTONE SQUARE, JACKSON, TN 38305
(731) 668-7375
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725425
—
TN
Enumeration date
06/05/2006
Last updated
08/22/2020
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