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Search › Tennessee › 174400000X

Jonathan Parker

NPI 1538617055 · on the registry since 2016 · sole proprietor

Practice

Address
95 Riverport Dr
Jackson, TN 38301
Phone
(731) 298-4506
Organisation at this address
1st Step Fitness
Lamont Ingram Developmental Organization For At-Risk Children
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-01-11

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