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1194149385
WENDY BURKS PEVAHOUSE
JACKSON, TN
NPI
1194149385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 18424)
Enumeration Date
2014-02-10
Last Update Date
2020-01-28
Business Address
WENDY BURKS PEVAHOUSE APN
9 PHYSICIANS DR
JACKSON, TN 38305-2071
Phone number: 731-772-4199
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Mailing Address
WENDY BURKS PEVAHOUSE APN
9 PHYSICIANS DR
JACKSON, TN 38305-2071
Phone number: 731-772-4199
Copy
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