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Preventagenix Llc
Family Nurse Practitioner in Jackson, Tennessee
NPI 1619386877

Preventagenix Llc is a Family Nurse Practitioner based in Jackson, TN and is specialized in Family. Preventagenix Llc practices in Jackson, TN. The NPI Number for Preventagenix Llc is 1619386877 and holds a License No. 7239 (Tennessee).

The current practice location address for Preventagenix Llc is 162 Murray Guard Dr, Jackson, TN and can be reached out via phone at 731-300-0044.

Location: 162 Murray Guard Dr, Jackson, TN, 38308-0105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619386877
Provider Name
Preventagenix Llc
Credential
Provider Entity Type
Organization
Address
162 Murray Guard Dr, Jackson, TN, 38308-0105
Phone Number
731-300-0044
Fax Number
Provider Enumeration Date
08/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
162 Murray Guard Dr
City
Jackson
State
Tennessee
Zip
38305-3609
Phone Number
731-300-0044
Fax Number
person
Provider Business Mailing Address Details
Address
162 Murray Guard Dr
City
Jackson
State
Tennessee
Zip
38305-3609
Phone Number
731-300-0044
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
7239 (Tennessee)
Definition
Definition to come...
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