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Lori M Middleton
Pediatric Nurse Practitioner in Jacksboro, Tennessee
NPI 1922340371

Lori M Middleton is a Pediatric Nurse Practitioner based in Lenoir City, TN and is specialized in Pediatrics. Lori M Middleton practices in Jacksboro, TN. The NPI Number for Lori M Middleton is 1922340371 and holds a License No. 17495 (Tennessee).

The current practice location address for Lori M Middleton is 136 Mountain Perkins Ln, Jacksboro, TN and can be reached out via phone at 423-562-4149 and via fax at 423-566-6929.

Location: 136 Mountain Perkins Ln, Jacksboro, TN, 37772-5690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922340371
Provider Name
Lori M Middleton
Credential
Provider Entity Type
Individual
Gender
Female
Address
136 Mountain Perkins Ln, Jacksboro, TN, 37772-5690
Phone Number
423-562-4149
Fax Number
423-566-6929
Provider Enumeration Date
03/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
136 Mountain Perkins Ln
City
Jacksboro
State
Tennessee
Zip
37757-2841
Phone Number
423-562-4149
Fax Number
423-566-6929
person
Provider Business Mailing Address Details
Address
136 Mountain Perkins Ln
City
Jacksboro
State
Tennessee
Zip
37757-2841
Phone Number
423-562-4149
Fax Number
423-566-6929
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
17495 (Tennessee)
Definition
Definition to come...
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