SUSAN S PORTER

JACKSON, TN
NPI1134256647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: TN  RN0000073851)
Enumeration Date2007-02-28
Last Update Date2007-07-08
Business Address
-- SUSAN S PORTER R.N.
295 SUMMAR AVENUE
JACKSON, TN 38301
Phone number: 731-421-6758
Mailing Address
-- SUSAN S PORTER R.N.
295 SUMMAR AVENUE
JACKSON, TN 38301
Phone number: 731-421-6758
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