Individual
CHRISTINA JORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
168 W UNIVERSITY PKWY STE C, JACKSON, TN 38305-1624
(731) 300-0810
Mailing address
PO BOX 1328, UNION CITY, TN 38281-1328
(731) 514-2104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25569
TN
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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