Individual
MR. JACK DEMPSEY HYDRICK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
2910 SOUTH CHURCH ST, STE B, MURFREESBORO, TN 37127
(615) 895-3600
(615) 895-0024
Mailing address
2910 SOUTH CHURCH ST, STE B, MURFREESBORO, TN 37127
(615) 895-3600
(615) 895-0024
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7765
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3907988
—
TN
01
—
4095318
BCBS
TN
Enumeration date
01/31/2006
Last updated
12/01/2015
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