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Individual

MRS. JACQUELINE BOWEN BUFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
6670 STAGE RD, BARTLETT, TN 38134
(901) 384-9000
Mailing address
6670 STAGE RD, BARTLETT, TN 38134-3810
(901) 384-9000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22366
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13987984
TN
Enumeration date
03/30/2017
Last updated
06/20/2018
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