Jennifer L Mabry, FNP
Nurse Practitioner in Cookeville, TN. Individual provider (NPI-1).
NPI number1982605382
StatusActive
Last updated in NPPESSep 10, 2007
Details
- NPI
- 1982605382
- Entity type
- Individual (NPI-1)
- Name
- Jennifer L Mabry
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2005
- Last updated
- Sep 10, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APN6851 | TN | Yes |
| 163W00000X | Registered Nurse | RN96949 | TN |
Practice location
228 W 4th StSte 200
Cookeville, TN 38501-2488
Phone 931-372-0405 · Fax 931-372-0463
Mailing address
228 W 4th StSte 200
Cookeville, TN 38501-2488
Phone 931-372-0405 · Fax 931-372-0463
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All 61 Nurse Practitioner providers in Cookeville · All 2,123 providers in Cookeville
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