Individual
CASEY GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
805 W JACKSON BLVD, JONESBOROUGH, TN 37659-5270
(423) 850-8190
(423) 850-8191
Mailing address
805 W JACKSON BLVD, JONESBOROUGH, TN 37659-5270
(423) 850-8190
(423) 850-8191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000235205
TN
363LF0000X
Family Nurse Practitioner
Primary
31690
TN
Other
Enumeration date
05/08/2022
Last updated
07/27/2023
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