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Organization

MIND AND BODY HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORI KAY JENKINS APN (OWNER/ NURSE PRACTITIONER)
(731) 435-3060
Entity
Organization

Contact information

Practice address
137 TERRACE PL, JACKSON, TN 38301-4836
(731) 435-3060
Mailing address
137 TERRACE PL, JACKSON, TN 38301-4836
(731) 435-3060

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
05/15/2021
Last updated
07/25/2021
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