LISA M JACK

MURFREESBORO, TN
NPI1740210152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TN  APN0000008399)
Enumeration Date2006-07-03
Last Update Date2020-04-30
Business Address
LISA M JACK APRN BC
2076 LASCASSAS PIKE STE B
MURFREESBORO, TN 37130-2085
Phone number: 615-535-0124
Mailing Address
LISA M JACK APRN BC
2076 LASCASSAS PIKE STE B
MURFREESBORO, TN 37130-2085
Phone number: 615-535-0124
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