Methodist Le Bonheur Community Outreach

NPI #1174872139 in Jackson, Tennessee

Provider Information

NPI Number
1174872139
Entity Type
Organization
Organization Name
Methodist Le Bonheur Community Outreach
Primary Specialty
Pediatrics
Enumeration Date
Sep 6, 2012
Last Updated
Aug 19, 2019

Practice Location

Address
77 STONEBRIDGE BLVD
ZIP Code
38305-2165
Phone
(901) 287-5961

Authorized Official

Name
PAM DENISE BURNETT
Title
MANAGER OF OPERATIONS
Phone
(731) 984-9963

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Community HealthCommunity Health
Pediatrics

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