Search › Tennessee › 363LF0000X
Lajacqua Rivers, NP
NPI 1063113660 · on the registry since 2023
Practice
- Address
- 2634 N Central Ave
Humboldt, TN 38343 - Phone
- (731) 324-1526
- Fax
- (731) 324-1534
- Organisation at this address
- Fast Pace Medical Clinic Pllc
Fast Pace Medical Clinic PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 11 Rushwood Dr, Jackson, TN
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee