Individual provider · Type 1 NPI

Jackie L. Correro, FNP

Family Nurse Practitioner · Germantown, TN

NPI number 1700285491 Active

Practice location

8060 Wolf River Blvd
Germantown, TN 38138-1727

Fax (901) 271-4187

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XR871348 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1700285491

Jackie L. Correro, FNP's National Provider Identifier is 1700285491, issued on Aug 19, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Germantown, TN. The record was last updated on Aug 19, 2014.