Jackson Purchase Pulmonary Medicine PLLC
Nurse Practitioner, Family in Mayfield, KY. Organization (NPI-2).
NPI number1992254288
StatusActive
Last updated in NPPESSep 27, 2016
Details
- NPI
- 1992254288
- Entity type
- Organization (NPI-2)
- Legal business name
- Jackson Purchase Pulmonary Medicine PLLC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2016
- Last updated
- Sep 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 3010022 | KY | Yes |
Practice location
1111 Medical Center CirMayfield, KY 42066-1194
Phone 270-251-4040 · Fax 855-430-0335
Mailing address
1111 Medical Center CirMayfield, KY 42066-1194
Phone 270-251-4040 · Fax 855-430-0335
Authorized official
Tammy D McCary
Office Manager
2702514040
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