Organization
SHELBYVILLE HOSPITAL CORPORATION
Active
Parent organization
SHELBYVILLE HOSPITAL CORPORATION
Other names
Wartrace Family Practice Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHELBYVILLE HOSPITAL CORPORATION
Authorized official
JENNIFER BOMBARDI-MOUNT CFNP (NURSE PRACTITIONER)
(931) 389-0600
Entity
Organization
Contact information
Practice address
507 BLACKMAN BLVD W, WARTRACE, TN 37183-2210
(931) 389-0600
(931) 389-6781
Mailing address
PO BOX 403621, ATLANTA, GA 30384-3621
(931) 389-0600
(931) 389-6781
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
TN
Other
Enumeration date
12/14/2006
Last updated
07/08/2008
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