Organization
STONEBRIDGE MEDICAL GROUP, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY W YOUNG JR. FNP (OWNER)
(731) 661-1008
Entity
Organization
Contact information
Practice address
111 STONEBRIDGE BLVD, SUITE B, JACKSON, TN 38305-2040
(731) 661-1008
(731) 410-6778
Mailing address
PO BOX 1798, DEPT. 07-100, MEMPHIS, TN 38101-1798
(731) 661-1008
(731) 410-6778
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN7239
TN
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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