Individual
JENNIFER L MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
228 W 4TH ST, STE 200, COOKEVILLE, TN 38501-2488
(931) 372-0405
(931) 372-0463
Mailing address
228 W 4TH ST, STE 200, COOKEVILLE, TN 38501-2488
(931) 372-0405
(931) 372-0463
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN96949
TN
363L00000X
Nurse Practitioner
Primary
APN6851
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3906449
—
TN
Enumeration date
08/09/2005
Last updated
09/10/2007
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