Provider Demographics
NPI:1730594888
Name:COMBS, JANA M (APRN)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:M
Last Name:COMBS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 MEDICAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:TN
Mailing Address - Zip Code:38343-3034
Mailing Address - Country:US
Mailing Address - Phone:731-784-2442
Mailing Address - Fax:731-784-1000
Practice Address - Street 1:705 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:TN
Practice Address - Zip Code:38343-3034
Practice Address - Country:US
Practice Address - Phone:731-784-2442
Practice Address - Fax:731-784-1000
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN18405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily