Individual
JENNA SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 SOUTHCREST CIR, SOUTHAVEN, MS 38671-6726
(662) 349-0488
Mailing address
2120 EXETER RD, STE 250, GERMANTOWN, TN 38138-3931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
23699
TN
363LF0000X
Family Nurse Practitioner
Primary
902443
MS
Other
Enumeration date
12/11/2017
Last updated
01/27/2022
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