Individual
MORGAN HOPE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
19 SECURITY DR, JACKSON, TN 38305
(731) 664-9040
(731) 664-9041
Mailing address
272 HERITAGE SQ, MEDINA, TN 38355-2102
(731) 414-4957
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22789
TN
363LP2300X
Primary Care Nurse Practitioner
22789
TN
Other
Enumeration date
07/14/2017
Last updated
04/25/2019
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