Organization
INNOVATION HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JACK FNP (OWNER)
(615) 535-0124
Entity
Organization
Contact information
Practice address
2076 LASCASSAS PIKE STE B, MURFREESBORO, TN 37130-2085
(615) 535-0124
Mailing address
2076 LASCASSAS PIKE STE B, MURFREESBORO, TN 37130-2085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/14/2020
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