Individual
MRS. JESSICA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1400 WILLOW DR, MANCHESTER, TN 37355-2438
(931) 409-2194
Mailing address
512 MARBURY RD, TULLAHOMA, TN 37388-2142
(931) 581-0115
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
27252
TN
Other
Enumeration date
02/26/2020
Last updated
11/12/2020
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