Individual
JESSICA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2690 MADISON ST STE 130, CLARKSVILLE, TN 37043-6185
(931) 245-1701
(931) 245-1720
Mailing address
2690 MADISON ST STE 130, CLARKSVILLE, TN 37043-6185
(931) 245-1701
(931) 245-1720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
158599
TN
363LF0000X
Family Nurse Practitioner
Primary
16880
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529601
—
TN
Enumeration date
07/31/2012
Last updated
10/13/2017
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