Individual
JACQUELINE FUQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4230 HARDING RD, STE 300, NASHVILLE, TN 37205-2013
(615) 783-1269
Mailing address
1301 COUNTRYSIDE RD, NOLENSVILLE, TN 37135-9716
(615) 776-5243
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000065253
TN
Other
Enumeration date
08/07/2008
Last updated
08/07/2008
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