| Mr Justin Michael Uphold, LPN | |
|
620 Gallatin Pike S, Madison, TN 37115-4013 | |
| (615) 460-4300 | |
| Not Available |
| Full Name | Mr Justin Michael Uphold |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 620 Gallatin Pike S, Madison, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326504150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN0000091325 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Justin Michael Uphold, LPN 620 Gallatin Pike S, Madison, TN 37115-4013 Ph: (615) 460-4300 | Mr Justin Michael Uphold, LPN 620 Gallatin Pike S, Madison, TN 37115-4013 Ph: (615) 460-4300 |
Daphne Marie Russell, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 620 Gallatin Pike S, Madison, TN 37115 Phone: 615-460-4300 | |
Shavonda Gibson, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 620 Gallatin Pike S, Madison, TN 37115 Phone: 615-460-4300 | |
Latitia Denise Simpson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 620 Gallatin Pike S, Madison, TN 37115 Phone: 615-460-4300 Fax: 615-460-4301 | |
Marissa Lynn Weiny, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 620 Gallatin Pike S, Madison, TN 37115 Phone: 888-291-4357 | |
Mrs. Yasmin Ellis, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 620 Gallatin Pike S, Madison, TN 37115 Phone: 615-460-4300 | |
Patricia Jane Nichols, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 620 Gallatin Pike S, Madison,tn, Madison, TN 37115 Phone: 615-460-4396 Fax: 625-460-4301 |