Individual
MS. BETTY A ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN BC
Contact information
Practice address
176 W UNIVERSITY PKWY STE C, JACKSON, TN 38305-1618
(731) 660-6915
(731) 668-4557
Mailing address
309 KEY SENTER RD, JACKSON, TN 38305
(731) 267-0239
(731) 847-6579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33929
TN
Other
Enumeration date
01/09/2006
Last updated
07/08/2007
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