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Wendy Burks Pevahouse, APN
Family Nurse Practitioner in Jackson, Tennessee
NPI 1194149385

Wendy Burks Pevahouse is a Family Nurse Practitioner based in Jackson, TN and is specialized in Family. Wendy Burks Pevahouse practices in Jackson, TN and has the professional credentials of APN. The NPI Number for Wendy Burks Pevahouse is 1194149385 and holds a License No. 18424 (Tennessee).

The current practice location address for Wendy Burks Pevahouse is 9 Physicians Dr, Jackson, TN and can be reached out via phone at 731-772-4199.

Location: 9 Physicians Dr, Jackson, TN, 38305-2071
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194149385
Provider Name
Wendy Burks Pevahouse
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
9 Physicians Dr, Jackson, TN, 38305-2071
Phone Number
731-772-4199
Fax Number
Provider Enumeration Date
02/10/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Q009893 05 TN
institution
Provider Business Practice Location Address Details
Address
9 Physicians Dr
City
Jackson
State
Tennessee
Zip
38305-2071
Phone Number
731-772-4199
Fax Number
person
Provider Business Mailing Address Details
Address
9 Physicians Dr
City
Jackson
State
Tennessee
Zip
38305-2071
Phone Number
731-772-4199
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
18424 (Tennessee)
Definition
Definition to come...
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