Doctor Name: | BRITTANY JEPSON |
NPI Number: | 1215025895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A. |
License Number: | PA0000001095 |
Business Practice Address: | 121 Highway 76 White House, TN - 371889292 |
Business Phone Number: | 6156725575 |
Business Fax Number: | 6156725405 |
Mailing Address: | 121 Highway 76, WHITE HOUSE |
State: | TN |
Postal Code: | 371889292 |
Phone Number: | 6156725575 |
Fax Number: | 6156725405 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA0000001095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |