Individual
JODI LASHAE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 E CENTRAL AVE, JAMESTOWN, TN 38556-4103
(931) 879-0206
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
(256) 664-4280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26578
TN
Other
Enumeration date
11/26/2019
Last updated
11/26/2019
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