Individual
JACQUELINE FULLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 GLEN ECHO RD STE 101, NASHVILLE, TN 37215-2857
(615) 457-8585
(615) 457-8595
Mailing address
2000 GLEN ECHO RD STE 101, NASHVILLE, TN 37215-2857
(615) 457-8585
(615) 457-8595
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
TN
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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