| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAUREN PUTMAN | 1902542426 | 2022-05-08 |
Lauren Putman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902542426. Registration indicates Lauren Putman is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Lauren Putman NP |
| Practice Office Address | 700 W FOREST AVE JACKSON, TN US |
| Practice Office Telephone | 7315419490 |
| Mailing Address | 700 W FOREST AVE JACKSON, TN 383013937 US |
| Business Telephone | 7315419490 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 31407
TN |