Individual
BETTY JEAN PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 YUM YUM RD, SOMERVILLE, TN 38068-4541
(901) 465-5245
Mailing address
17960 HIGHWAY 76 N, SOMERVILLE, TN 38068-4558
(901) 465-8837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000029574
TN
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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