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Atoka Idaville Family Health, Inc
Family Nurse Practitioner in Brighton, Tennessee
NPI 1962861310

Atoka Idaville Family Health, Inc is a Family Nurse Practitioner based in Brighton, TN and is specialized in Family. Atoka Idaville Family Health, Inc practices in Brighton, TN. The NPI Number for Atoka Idaville Family Health, Inc is 1962861310 and holds a License No. 13123 (Tennessee).

The current practice location address for Atoka Idaville Family Health, Inc is 5847 Atoka Idaville Rd, Brighton, TN and can be reached out via phone at 901-304-8709.

Location: 5847 Atoka Idaville Rd, Brighton, TN, 38011-7066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962861310
Provider Name
Atoka Idaville Family Health, Inc
Credential
Provider Entity Type
Organization
Address
5847 Atoka Idaville Rd, Brighton, TN, 38011-7066
Phone Number
901-304-8709
Fax Number
Provider Enumeration Date
02/13/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3703407 05 TN
institution
Provider Business Practice Location Address Details
Address
5847 Atoka Idaville Rd
City
Brighton
State
Tennessee
Zip
38011-7066
Phone Number
901-304-8709
Fax Number
person
Provider Business Mailing Address Details
Address
5847 Atoka Idaville Rd
City
Brighton
State
Tennessee
Zip
38011-7066
Phone Number
901-304-8709
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
2007009643 (Tennessee)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
13123 (Tennessee)
Definition
Definition to come...
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