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1477216281
JACOB LAY
POWELL, TN
NPI
1477216281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN 30389)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
JACOB LAY PMHNP
7714 CONNER RD STE 105
POWELL, TN 37849-3559
Phone number: 865-947-6220
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Mailing Address
JACOB LAY PMHNP
1923 SULPHUR SPRINGS RD
MORRISTOWN, TN 37813-5654
Phone number: 423-317-9344
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