Individual
JACI KATE QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5751 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2237
(931) 823-3030
Mailing address
5751 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2237
(931) 823-3030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
38006
TN
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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