Individual
GYU CHANG JO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
205 HOSPITAL DR STE A, MC KENZIE, TN 38201
(731) 352-7907
(731) 352-4459
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25572
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3380640
—
TN
Enumeration date
04/30/2019
Last updated
03/21/2022
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