LISA DAWN BOOTH

JACKSON, TN
NPI1306248182
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  19109)
Enumeration Date2014-09-23
Last Update Date2024-03-28
Business Address
Ms. LISA DAWN BOOTH F.N.P.
145 INNOVATION DR
JACKSON, TN 38305-3019
Phone number: 731-422-0213
Mailing Address
Ms. LISA DAWN BOOTH F.N.P.
PO BOX 400
JACKSON, TN 38302-0400
Phone number: 731-422-0213
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