Individual
JACOB MICHAEL STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
140 MACON WAY, HARTSVILLE, TN 37074
(615) 808-0400
Mailing address
113 LEGENDS RIDGE DR, LEBANON, TN 37090-1565
(615) 630-4457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24127
TN
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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