Provider Demographics
NPI:1689955775
Name:WEBB, PAULA JEAN
Entity Type:Individual
Prefix:MISS
First Name:PAULA
Middle Name:JEAN
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:PAULA
Other - Middle Name:JEAN
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:3635 W PARON RD
Mailing Address - Street 2:
Mailing Address - City:COOKEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38506-9036
Mailing Address - Country:US
Mailing Address - Phone:931-704-1298
Mailing Address - Fax:
Practice Address - Street 1:701 COUNTY SERVICES DR
Practice Address - Street 2:
Practice Address - City:COOKEVILLE
Practice Address - State:TN
Practice Address - Zip Code:38501-4338
Practice Address - Country:US
Practice Address - Phone:931-528-2531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN56284163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse