Individual provider · Type 1 NPI
Lajacqua Rivers, NP
Family Nurse Practitioner · Humboldt, TN
NPI number
1063113660
Active
Practice location
2634 N Central Ave
Humboldt, TN 38343-1534
Fax (731) 324-1534
Mailing address
11 Rushwood Dr
Jackson, TN 38305-2145
Other practice locations
- 3131 N Highland Ave, Jackson, TN 38305-3418 · (731) 394-1145
- 11 Rushwood Dr, Jackson, TN 38305-2145 · (731) 326-0516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0000242729 (TN) |
| Family Nurse Practitioner Primary | 363LF0000X | 37150 (TN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Humboldt
- Katherine Elizabeth James, FNP-CFamily Nurse Practitioner Humboldt, TN NPI 1205530649
- Alma Sue Moore, FNPFamily Nurse Practitioner Humboldt, TN NPI 1295333045
- Micah WhitnellFamily Nurse Practitioner Humboldt, TN NPI 1336845734
- Olive Maury Caby Rich, NP-CFamily Nurse Practitioner Humboldt, TN NPI 1437812195
- Jacqueline Marie ScottFamily Nurse Practitioner Humboldt, TN NPI 1477145779
- Shelby Mosley GravesFamily Nurse Practitioner Humboldt, TN NPI 1518805019
- David Michael Smith, FNPFamily Nurse Practitioner Humboldt, TN NPI 1558241513
- Stephanie Thomas Boling, FNPFamily Nurse Practitioner Humboldt, TN NPI 1619370889
About NPI 1063113660
Lajacqua Rivers, NP's National Provider Identifier is 1063113660, issued on Mar 13, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Humboldt, TN. The record was last updated on Sep 30, 2026.