Individual
DR. JASON WADE EPPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
294 SUMMAR DR, JACKSON, TN 38301-3915
(731) 423-1932
(731) 423-4919
Mailing address
12 HEMINGWAY COVE, JACKSON, TN 38305
(731) 256-1602
(731) 664-0866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41038
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37450
TLC
TN
05
—
3811124
—
TN
01
—
4125102
BLUE CROSS BLUE SHIELD
TN
Enumeration date
05/11/2006
Last updated
07/08/2007
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