Healthcare Provider Details

I. General information

NPI: 1912271644
Provider Name (Legal Business Name): JIUNN H. HO, M.D. PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2012
Last Update Date: 02/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1995 HIGHWAY 51 S STE 201
COVINGTON TN
38019-3655
US

IV. Provider business mailing address

PO BOX 681
COVINGTON TN
38019-0681
US

V. Phone/Fax

Practice location:
  • Phone: 901-476-1442
  • Fax: 901-476-9767
Mailing address:
  • Phone: 901-476-1442
  • Fax: 901-476-9767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD10447
License Number StateTN

VIII. Authorized Official

Name: MR. JIUNN H HO
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 901-476-1442