Mabry, Jennifer L

Mabry, Jennifer L is an individual health care provider with primary practice located at 228 W 4Th St Ste 200, Cookeville TN 38501-2488. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mabry, Jennifer L can be contacted via phone (931) 372-0405.

Contact Information

Primary practice address
228 W 4Th St Ste 200 Cookeville TN 38501-2488
Phone: (931) 372-0405
Fax: (931) 372-0463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN96949 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN6851 Tennessee

Profile Details

NPI number 1982605382
LBN Legal business name Mabry, Jennifer L
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 10th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982605382 NPPES
Tennessee MEDICAID 3906449

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