Individual
MR. MICHAEL WAYNE JESSIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
2222 STATE ST, SUITE A, NASHVILLE, TN 37203-1845
(615) 371-1210
(615) 371-1270
Mailing address
2501 CHALICE DR, MURFREESBORO, TN 37127-6005
(615) 631-2308
(615) 371-1270
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0000019062
TN
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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