Individual
DR. JODI LANE NUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
800 S BROWN ST, SPRINGFIELD, TN 37172-2920
(615) 384-4504
Mailing address
800 S BROWN ST, SPRINGFIELD, TN 37172-2920
(615) 384-4504
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9752
TN
Other
Enumeration date
08/31/2013
Last updated
08/31/2013
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