JESSICA ELAINE LIETZ

FORT CAMPBELL, KY
NPI1124262720
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: TN  014113)
Enumeration Date2009-04-27
Last Update Date2014-08-04
Business Address
Mrs. JESSICA ELAINE LIETZ FNP-C
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8400
Mailing Address
Mrs. JESSICA ELAINE LIETZ FNP-C
3402 SUMMERFIELD DR
CLARKSVILLE, TN 37042-8155
Phone number: 270-498-5656
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