CHARLES JACOB CUPP

LOUDON, TN
NPI1811675960
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TN  34212)
Enumeration Date2023-07-10
Last Update Date2025-04-14
Business Address
CHARLES JACOB CUPP FNP
202 DOHI DR
LOUDON, TN 37774-2851
Phone number: 865-205-3025
Mailing Address
CHARLES JACOB CUPP FNP
1275 DICK LONAS RD UNIT 101
KNOXVILLE, TN 37909-1383
Phone number: 865-584-4747
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