Individual
KELLEY LUMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27 MEDICAL CENTER DR, JACKSON, TN 38301-3949
(731) 424-1001
(731) 426-0344
Mailing address
2020 EXETER RD, GERMANTOWN, TN 38138-3945
(901) 747-3630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
205390
TN
363L00000X
Nurse Practitioner
Primary
25362
TN
363LF0000X
Family Nurse Practitioner
25362
TN
Other
Enumeration date
01/17/2019
Last updated
07/13/2022
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