NPI 1033827852
Jeremy O'Brien Beard
Practice location
- Address
- 131 Tucker St # 11, Jackson, TN 38301-4055
- Phone
- (731) 217-6103
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1033827852
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Nov 2022
- Record last updated
- 10 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.