Bh Services Southeast 1 PC

NPI #1164251526 in Brownsville, Tennessee

Provider Information

NPI Number
1164251526
Entity Type
Organization
Organization Name
Bh Services Southeast 1 PC
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 1, 2024
Last Updated
Jan 22, 2025

Practice Location

Address
2565 N WASHINGTON AVE
ZIP Code
38012-1610
Phone
(731) 772-4199

Authorized Official

Name
SANDRA BAKERINK
Title
DIRECTOR OF PROVIDER ENROLLMENT/AO
Phone
(865) 500-1325

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Clinic/Center - Rural HealthRural Health
Nurse Practitioner

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