JACOB COSTELLO

MADISON, TN
NPI1508737545
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WC0200X Registered Nurse, Critical Care Medicine
(Licence: AL  1-190409)
Enumeration Date2025-09-15
Last Update Date2025-09-15
Business Address
-- JACOB COSTELLO
315 HOSPITAL DR
MADISON, TN 37115-5030
Phone number: 615-732-7662
Mailing Address
-- JACOB COSTELLO
315 HOSPITAL DR
MADISON, TN 37115-5030
Phone number: 615-732-7662
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