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Individual

JUELDA R COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN, RN

Contact information

Practice address
9437 HIGHWAY 70 EAST, MC EWEN, TN 37101-4859
(931) 582-8820
(931) 582-8970
Mailing address
9437 HIGHWAY 70 EAST, MCEWEN, TN 37101-4859
(931) 582-8820
(931) 582-8970

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
14154
TN
364SF0001X
Family Health Clinical Nurse Specialist
Primary
14154
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135432
RN#
TN
01
14154
APN
TN
Enumeration date
06/05/2009
Last updated
06/18/2015
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