Individual
JIMMY WAYNE CHEEKS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
754 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3323
(615) 754-2828
(651) 754-2818
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8217
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4083915
BLUECROSS BLUESHIELD
TN
Enumeration date
07/07/2006
Last updated
04/03/2023
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