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Individual

JENNIFER ANN PETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1123 NORTH CASTLEHEIGHTS AVENUE, SUITE H, LEBANON, TN 37087-1510
(615) 443-2273
(615) 449-3111
Mailing address
1123 N CASTLE HEIGHTS AVE, SUITE H, LEBANON, TN 37087-5724
(615) 443-2273
(615) 449-3111

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000011466
TN

Other

Enumeration date
11/29/2006
Last updated
10/07/2008
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