Ortho Express Holding Company, LLC

NPI #1508589367 in Atoka, Tennessee

Provider Information

NPI Number: 1508589367
Entity Type: Organization
Organization Name: Ortho Express Holding Company, LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Sep 26, 2022
Last Updated: Feb 1, 2024

Practice Location

Address: 11645 HIGHWAY 51 S STE 103
City: Atoka
State: Tennessee
ZIP Code: 38004-7130
Phone: (901) 407-2221

Authorized Official

Name: JENNIFER C BULLOCK
Title: PRESIDENT
Phone: (662) 534-2227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X	Primary

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