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Organization

XANADU HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER W BROOKS PA-C (PA/OWNER)
(423) 620-0575
Entity
Organization

Contact information

Practice address
2320 DALEBROOK CT, NASHVILLE, TN 37206-1338
(423) 620-0575
Mailing address
2320 DALEBROOK CT, NASHVILLE, TN 37206-1338
(423) 620-0575

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
01/14/2019
Last updated
01/15/2019
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