Individual
JAMIE NEKOLE HAZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
707 MAIN ST, HUNTLAND, TN 37345-3263
(931) 469-4662
Mailing address
551 PLEASANT RIDGE LN, HUNTLAND, TN 37345-5934
(931) 308-7067
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000016208
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528097
—
TN
Enumeration date
11/29/2011
Last updated
10/02/2024
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