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Derek Wakefield, DO
Student in an Organized Health Care Education/Training Program in Jackson, Tennessee
NPI 1164124541

Derek Wakefield is a Student in an Organized Health Care Education/Training Program based in Jackson, TN. Derek Wakefield practices in Jackson, TN and has the professional credentials of DO. The NPI Number for Derek Wakefield is 1164124541 and holds a License No. (Tennessee).

The current practice location address for Derek Wakefield is 294 Summar Dr, Jackson, TN and can be reached out via phone at 731-423-1932 and via fax at 731-660-8739.

Location: 294 Summar Dr, Jackson, TN, 38301-3915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164124541
Provider Name
Derek Wakefield
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
294 Summar Dr, Jackson, TN, 38301-3915
Phone Number
731-423-1932
Fax Number
731-660-8739
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
294 Summar Dr
City
Jackson
State
Tennessee
Zip
38301-3915
Phone Number
731-423-1932
Fax Number
731-660-8739
person
Provider Business Mailing Address Details
Address
294 Summar Dr
City
Jackson
State
Tennessee
Zip
38301-3915
Phone Number
731-423-1932
Fax Number
731-660-8739
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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