Individual
PORSHA Y AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.M.
Contact information
Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 927-7628
(731) 927-7642
Mailing address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 927-7628
(731) 927-7642
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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