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Individual

AMBER D FERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
32 LEGACY CV, JACKSON, TN 38305-3154
(731) 415-6509
Mailing address
32 LEGACY CV, JACKSON, TN 38305-3154
(731) 415-6509

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1984
TN
363AM0700X
Medical Physician Assistant
1984
TN

Other

Enumeration date
07/29/2011
Last updated
08/05/2025
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