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Organization

AWAKENING MINDFUL POSSIBILITIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON MATTHEW TALLMAN MSN, RN, APN-BC (C.E.O./ PRACTITIONER)
(931) 380-0677
Entity
Organization

Contact information

Practice address
109 KENSINGTON PL, COLUMBIA, TN 38401-8885
(931) 380-0677
(931) 380-0677
Mailing address
109 KENSINGTON PL, COLUMBIA, TN 38401-8885
(931) 380-0677
(931) 380-0677

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000014483
TN

Other

Enumeration date
11/18/2009
Last updated
11/18/2009
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