WENDY BURKS PEVAHOUSE

JACKSON, TN
NPI1194149385
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  18424)
Enumeration Date2014-02-10
Last Update Date2025-03-03
Business Address
WENDY BURKS PEVAHOUSE APN
27A MEDICAL CENTER DR
JACKSON, TN 38301-3949
Phone number: 731-280-0157
Mailing Address
WENDY BURKS PEVAHOUSE APN
ONE GI CREDENTIALING DEPARTMENT PO BOX 381468
GERMANTOWN, TN 38183-1468
Phone number: