# CPESN TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619689981
- **Authorized official:** JESSICS ROBINSON PHARMD (MANAGING NETWORK FACILITATOR)
- **Authorized official phone:** (423) 817-0355

## Contact information

- **Practice address:** 1000 MONARCH PT, GREENEVILLE, TN 37745-4656
- **Practice address phone:** (423) 817-0355
- **Mailing address:** 1000 MONARCH PT, GREENEVILLE, TN 37745-4656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/19/2022
- **Last updated:** 12/19/2022