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Individual

JACOB WESTON FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2400 PATTERSON ST STE 502, NASHVILLE, TN 37203-6511
(615) 515-1900
(615) 292-4633
Mailing address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2320

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23457
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23457
TN APN LICENSE
TN
Enumeration date
11/22/2017
Last updated
07/09/2025
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