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Jacob Netterville

NPI 1841970415 · on the registry since 2023

Practice

Address
4726 Traders Way
Thompsons Station, TN 37179
Phone
(615) 791-5347
Fax
(615) 791-5349
Organisation at this address
Kroger Limited Partnership I
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
1835P0018X
1835P0018X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-11

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