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Individual

FRED J SESTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
31 PHYSICIANS DR, JACKSON, TN 38305-2071
(731) 664-0103
(731) 664-5666
Mailing address
31 PHYSICIANS DR, JACKSON, TN 38305-2071
(731) 664-0103
(731) 664-5666

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000007704
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3907058
TN
01
500029367
RAILROAD MEDICARE
TN
Enumeration date
10/03/2006
Last updated
08/29/2016
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