Individual
JACKLYN HUMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-0004
(615) 343-9055
Mailing address
6501 HARDING PIKE APT P11, NASHVILLE, TN 37205-4020
(815) 245-2988
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
6140
TN
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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