Provider Demographics
NPI:1831483437
Name:PAXTON, JANE BOVIE (DPH)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:BOVIE
Last Name:PAXTON
Suffix:
Gender:F
Credentials:DPH
Other - Prefix:
Other - First Name:JANE
Other - Middle Name:
Other - Last Name:PAXTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPH
Mailing Address - Street 1:2002 CREEKWALK DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-1802
Mailing Address - Country:US
Mailing Address - Phone:615-867-3017
Mailing Address - Fax:
Practice Address - Street 1:2002 CREEKWALK DRIVE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130
Practice Address - Country:US
Practice Address - Phone:615-867-3017
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23510183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist