Individual
JESSICA HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
101 JACKSON WALK PLZ, JACKSON, TN 38301-3008
(731) 425-6900
Mailing address
1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 38305-4403
(731) 660-7971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26629
TN
Other
Enumeration date
10/07/2019
Last updated
01/07/2020
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