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Jaclyn Bane
Family Nurse Practitioner in Jackson, Tennessee
NPI 1871983452

Jaclyn Bane is a Family Nurse Practitioner based in Jackson, TN and is specialized in Family. Jaclyn Bane practices in Jackson, TN. The NPI Number for Jaclyn Bane is 1871983452 and holds a License No. 19616 (Tennessee).

The current practice location address for Jaclyn Bane is 655 Lexington Ave, Jackson, TN and can be reached out via phone at 731-540-0330.

Location: 655 Lexington Ave, Jackson, TN, 38301-5075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871983452
Provider Name
Jaclyn Bane
Credential
Provider Entity Type
Individual
Gender
Female
Address
655 Lexington Ave, Jackson, TN, 38301-5075
Phone Number
731-540-0330
Fax Number
Provider Enumeration Date
02/03/2015
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
655 Lexington Ave
City
Jackson
State
Tennessee
Zip
38301-5075
Phone Number
731-540-0330
Fax Number
person
Provider Business Mailing Address Details
Address
655 Lexington Ave
City
Jackson
State
Tennessee
Zip
38301-5075
Phone Number
731-540-0330
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
19616 (Tennessee)
Definition
Definition to come...
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