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Organization
NP ENTERPRISES, INC.
Active
Organization
NP ENTERPRISES, INC.
Active
Other names
Family Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY PERNELL C.F.N.P. (PRESIDENT)
(931) 707-7117
Entity
Organization
Contact information
Practice address
42 DOOLEY ST, CROSSVILLE, TN 38555-4055
(931) 707-7117
(931) 707-7113
Mailing address
42 DOOLEY ST, CROSSVILLE, TN 38555-4055
(931) 707-7117
(931) 707-7113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0342120-22
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3726617
—
TN
01
—
4087535
TENNCARE SELECT SERV PROV
TN
01
—
4087536
BLUE CROSS BLUE SHIELD
TN
Enumeration date
07/04/2006
Last updated
12/16/2009
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