Individual
JO FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
7735 FARMINGTON BLVD, GERMANTOWN, TN 38138-2901
(901) 757-6805
Mailing address
441 DONELSON PIKE STE 395, NASHVILLE, TN 37214-3563
(615) 367-1444
(615) 367-1445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23458
TN
Other
Enumeration date
05/25/2018
Last updated
01/24/2023
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