Individual
MRS. JAMIE BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
305 RIVER ROAD, DECATUR, TN 37322
(423) 338-8995
(423) 338-8996
Mailing address
6784 US 411, P.O. BOX, BENTON, TN 37307
(423) 338-8995
(423) 338-8996
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
22496
TN
Other
Enumeration date
03/06/2017
Last updated
05/25/2021
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