Andala Mae Tennyson RN

NPI 1114046810 - Registered Nurse - 163W00000X

NPI Details
NPI 1114046810
Gender Female
Enumeration Date 03/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
295 SUMMAR DR
JACKSON TN, 38301-3905, US
Phone (731) 421-6742
Fax
Business Location
295 SUMMAR DR
JACKSON TN, 38301-3905, US
Phone
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Tennessee
License Number RN0000077115
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According to our database, Andala Mae Tennyson RN NPI is 1114046810, taxonomy code is 163W00000X and license number is RN0000077115, license state is located at Tennessee. Andala Mae Tennyson RN physically located at 295 Summar Dr, Jackson TN, 38301-3905. NPI Number Andala Mae Tennyson RN has the Individual type.

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1114046810 NPI number is provided on an as is basis without warranty of any kind. 1114046810 is maintained by the National Plan & Provider Enumeration System. The contents of Andala Mae Tennyson RN are for informational purposes only.