Individual
JAMARIA JANIA SOUTHWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2500 CHARLOTTE AVE, NASHVILLE, TN 37209-4129
(615) 340-5616
Mailing address
103 WESTGATE DR, SPRINGFIELD, TN 37172-4602
(615) 516-4309
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
248417
TN
Other
Enumeration date
06/08/2022
Last updated
06/18/2024
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