Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 17933 | TN |
NPI | 1003248733 |
---|---|
Provider Name | Jennifer Blaine Bilbrey |
First Address | Gallatin, TN 37066-3645 |
Second Address | Springfield, TN 37172-4066 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2013 |
Last Update Date | 13/08/2021 |