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1619644564
TINA JEFFERSON
MILLINGTON, TN
NPI
1619644564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 29406)
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
TINA JEFFERSON FNP-C
5017 BUBBLING CREEK LN APT 202
MILLINGTON, TN 38053-4469
Phone number: 901-230-7865
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Mailing Address
TINA JEFFERSON FNP-C
5017 BUBBLING CREEK LN APT 202
MILLINGTON, TN 38053-4469
Phone number: 901-230-7865
Copy
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