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Mary Lou Adams, NP

Nurse Practitioner in Jackson, TN. Individual provider (NPI-1).

NPI number1346288503
StatusActive
Last updated in NPPESJul 29, 2009

Details

NPI
1346288503
Entity type
Individual (NPI-1)
Name
Mary Lou Adams
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jun 2, 2006
Last updated
Jul 29, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerAPN5821TNYes

Practice location

708 W Forest Ave
Jackson, TN 38301-3901

Phone 731-660-8759

Mailing address

1804 Highway 45 Byp
Suite 604
Jackson, TN 38305-4436

Phone 731-660-8759

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