Organization
JP PRIME HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PENDERGRAST APN-BC (NP)
(931) 647-0269
Entity
Organization
Contact information
Practice address
111 USSERY RD, CLARKSVILLE, TN 37043-4530
(931) 647-0269
(931) 553-8129
Mailing address
906 GLENRAVEN DR, CLARKSVILLE, TN 37043-8296
(931) 436-3668
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
03/07/2019
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