Individual
MS. ALICE JEANETTE WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
2863 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 422-0213
(731) 422-0357
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 425-5783
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN5345
TN
363L00000X
Nurse Practitioner
RN42624
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3902911
—
TN
Enumeration date
03/16/2006
Last updated
10/25/2023
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