Individual
PAMELA RENEA JIMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA
Contact information
Practice address
510 SOUTHLAKE DR, LA VERGNE, TN 37086-2669
(662) 822-5301
Mailing address
4235 HILLSBORO PIKE STE 300, NASHVILLE, TN 37215-3344
(844) 754-3729
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
20-002PI19
MS
246RP1900X
Phlebotomy Technician
20-002P19
MS
Other
Enumeration date
10/05/2023
Last updated
10/27/2023
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