Organization
JAMESTOWN FAMILY CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAN TRACYE ROBERTSON DNP (DNP/OWNER)
(931) 879-5804
Entity
Organization
Contact information
Practice address
1010 OLD HIGHWAY 127 SOUTH, JAMESTOWN, TN 38556-0068
(931) 879-5804
Mailing address
PO BOX 68, JAMESTOWN, TN 38556-0068
(931) 879-5804
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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