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1346714714
JP PRIME HEALTH PLLC
CLARKSVILLE, TN
NPI
1346714714
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Entity Type
Organization
Authorized Contact
JENNIFER PENDERGRAST
Np
931-647-0269
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
Enumeration Date
2019-01-18
Last Update Date
2019-03-07
Business Address
JP PRIME HEALTH PLLC
111 USSERY RD
CLARKSVILLE, TN 37043-4530
Phone number: 931-647-0269
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Mailing Address
JP PRIME HEALTH PLLC
906 GLENRAVEN DR
CLARKSVILLE, TN 37043-8296
Phone number: 931-436-3668
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