Individual
JENNA LEE DUBRUIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1123 N MAIN ST, DYER, TN 38330-1019
(731) 692-2853
(731) 692-2367
Mailing address
1123 N MAIN ST, DYER, TN 38330-1019
(731) 692-2853
(731) 692-2367
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2166
TN
Other
Enumeration date
06/28/2012
Last updated
12/11/2023
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