LISA DUNIVAN KING

JACKSON, TN
NPI1407520786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  28972)
Enumeration Date2021-08-02
Last Update Date2021-08-02
Business Address
LISA DUNIVAN KING NP
1605 S HIGHLAND AVE
JACKSON, TN 38301-7718
Phone number: 731-424-9741
Mailing Address
LISA DUNIVAN KING NP
375 PEDDY VESTAL LOOP
HENDERSON, TN 38340-3492
Phone number: 731-695-4439
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