Individual
JERRY PERNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
42 DOOLEY ST, CROSSVILLE, TN 38555-4055
(931) 707-7117
(888) 456-7965
Mailing address
42 DOOLEY ST, CROSSVILLE, TN 38555-4055
(931) 707-7117
(888) 456-7965
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000007811
TN
Other
Enumeration date
07/19/2007
Last updated
10/08/2013
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