Individual
DIANA N MUNOZ-ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
295 SUMMAR DR, JACKSON, TN 38301-3905
(731) 412-6748
Mailing address
295 SUMMAR DR, JACKSON, TN 38301-3905
(731) 412-6748
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
249792
TN
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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