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Individual

JEREMY A BINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNPC-AG

Contact information

Practice address
104 MCCORD CT, NOLENSVILLE, TN 37135-9727
(901) 230-1998
Mailing address
104 MCCORD CT, NOLENSVILLE, TN 37135-9727
(901) 230-1998

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
15872-33
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
APN0000025182
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407327091
WI
Enumeration date
12/08/2018
Last updated
12/17/2025
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