Lisa M Jack, APRN BC
NPI #1740210152 in Murfreesboro, Tennessee
Provider Information
- NPI Number
- 1740210152
- Entity Type
- Individual
- Name
- Lisa M Jack, APRN BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- APRN BC
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Apr 30, 2020
Practice Location
- Address
- 2076 LASCASSAS PIKE STE B
- City
- Murfreesboro
- State
- Tennessee
- ZIP Code
- 37130-2085
- Phone
- (615) 535-0124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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