Individual
CAROLYN M NEWMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
219 S MISSOURI ST, JACKSON, TN 38301-7464
(731) 422-6630
(731) 935-2866
Mailing address
219 S MISSOURI ST, JACKSON, TN 38301-7464
(731) 424-9741
(731) 427-5241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN5538
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12817
TLC
TN
01
—
3141680
BCBS
TN
05
—
3702839
—
TN
Enumeration date
01/26/2007
Last updated
12/12/2018
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