Individual
JACOB PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 21ST AVE S, NASHVILLE, TN 37240-1104
(615) 322-4400
Mailing address
519 SAVELY DR, HENDERSONVILLE, TN 37075-3222
(615) 946-3577
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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