Individual
DR. PUSHPENDRA K JAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 N WILLOW AVE STE 3, COOKEVILLE, TN 38501-2335
(931) 528-8899
(931) 520-7655
Mailing address
225 N WILLOW AVE, COOKEVILLE, TN 38501-2335
(931) 528-8899
(931) 520-7655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16449
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3018160
—
TN
05
—
3863723
—
TN
Enumeration date
11/20/2006
Last updated
11/09/2022
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