Individual
JOHN WALLACE NEBLETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 WEST FOREST, STE 200, JACKSON, TN 38301
(731) 541-9490
(731) 541-9485
Mailing address
700 WEST FOREST, STE. 200, JACKSON, TN 38301
(731) 541-9490
(731) 541-9485
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
11356
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3003235
—
TN
01
—
4034740
AETNA
—
01
—
4052872
BLUE CROSS BLUE SHIELD
TN
Enumeration date
06/28/2006
Last updated
07/22/2013
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