Individual
JESSICA BUMPUS KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 NUCKOLLS RD, BOLIVAR, TN 38008-1599
(731) 658-3388
Mailing address
629 NUCKOLLS RD, BOLIVAR, TN 38008-1599
(731) 658-3388
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
203481
TN
363LF0000X
Family Nurse Practitioner
Primary
23390
TN
Other
Enumeration date
08/31/2017
Last updated
04/02/2026
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