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Organization

CRESTVIEW HOSPITAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER L JACKSON (SR DIR ONBOARDING & PROV ENROLLMENT)
(615) 465-3334
Entity
Organization

Contact information

Practice address
330 FRANKLIN RD, STE 135A, BRENTWOOD, TN 37027-3282
(615) 309-3300
(615) 309-3338
Mailing address
330 FRANKLIN RD, STE 135A, BRENTWOOD, TN 37027-3282
(615) 309-3300
(615) 309-3338

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FL

Other

Enumeration date
05/27/2005
Last updated
07/21/2022
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