Awakening Mindful Possibilities

NPI 1114255817 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1114255817
Enumeration Date 11/18/2009
Last Updated 11/18/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name JASON MATTHEW JASON
Position C.E.O./ PRACTITIONER
Phone (931) 380-0677
Fax (931) 380-0677
Practice Location
109 KENSINGTON PL
COLUMBIA TN, 38401-8885, US
Phone (931) 380-0677
Fax (931) 380-0677
Business Location
109 KENSINGTON PL
COLUMBIA TN, 38401-8885, US
Phone (931) 380-0677
Fax (931) 380-0677
Toxanomy
Taxonomy Code 363LP0808X
License State Tennessee
License Number APN0000014483
Remove 1114255817 NPI Number
 

According to our database, Awakening Mindful Possibilities NPI is 1114255817, taxonomy code is 363LP0808X and license number is APN0000014483, license state is located at Tennessee. Awakening Mindful Possibilities physically located at 109 Kensington Pl, Columbia TN, 38401-8885. NPI Number 1033115704 has the healthcare provider type.

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1114255817 NPI number is provided on an as is basis without warranty of any kind. 1114255817 is maintained by the National Plan & Provider Enumeration System. The contents of Awakening Mindful Possibilities are for informational purposes only.