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Organization

MATRIX WELLNESS SOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID BRIAN HUGHES GNP (C0-OWNER)
(731) 571-8808
Entity
Organization

Contact information

Practice address
384 CARRIAGE HOUSE DR STE D, SUITE D, JACKSON, TN 38305-2268
(731) 256-2006
(731) 256-2007
Mailing address
384 CARRIAGE HOUSE DR STE D, SUITE D, JACKSON, TN 38305-2268
(731) 256-2006
(731) 256-2007

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN0013215
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APN 007296
TN

Other

Enumeration date
01/12/2012
Last updated
01/12/2012
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