Individual
MRS. JESSICA FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 HARDING PL, NASHVILLE, TN 37211-4357
(612) 659-7111
(612) 659-7101
Mailing address
PO BOX 772, WOONSOCKET, RI 02895-0784
(612) 659-7111
(612) 659-7101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000012538
TN
Other
Enumeration date
03/01/2007
Last updated
04/24/2013
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