Organization
HOPE HEALTHCARE OF WEST TENNESSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STERLING (OWNER)
(731) 661-9163
Entity
Organization
Contact information
Practice address
21 SECURITY DR, JACKSON, TN 38305-3626
(731) 661-9163
(731) 664-9916
Mailing address
21 SECURITY DR, JACKSON, TN 38305-3626
(731) 661-9163
(731) 664-9916
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44D2021554
CLIA ID NUMBER
TN
Enumeration date
12/29/2011
Last updated
12/29/2011
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