Individual
HEATHER MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
70 PETE DR, LEXINGTON, TN 38351-6545
(731) 307-6323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
180007
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
28313
TN
Other
Enumeration date
09/06/2020
Last updated
09/29/2020
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