Individual
MRS. MARY MURPHY MCMILLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
720 W FOREST AVE, JACKSON, TN 38301-3904
(731) 541-9561
(731) 541-1829
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN15696
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528948
—
TN
Enumeration date
03/29/2011
Last updated
03/15/2018
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