Organization
CPESN TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICS ROBINSON PHARMD (MANAGING NETWORK FACILITATOR)
(423) 817-0355
Entity
Organization
Contact information
Practice address
1000 MONARCH PT, GREENEVILLE, TN 37745-4656
(423) 817-0355
Mailing address
1000 MONARCH PT, GREENEVILLE, TN 37745-4656
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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