Organization · Type 2 NPI

State of Tennessee

Public Health or Welfare Agency · Jackson, TN

NPI number 1992010672 Active

Practice location

295 Summar Dr
Jackson, TN 38301-3905

Fax (731) 935-7093

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

Public Health or Welfare Agency: Definition to come...

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About NPI 1992010672

State of Tennessee's National Provider Identifier is 1992010672, issued on Aug 18, 2010. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Jackson, TN. The record was last updated on Aug 20, 2010.