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1710239215
JESSICA SUZANNE BENNETT
ELIZABETHTON, TN
NPI
1710239215
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Former Name
JESSICA SUZANNE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 2195)
Enumeration Date
2012-10-08
Last Update Date
2023-10-31
Business Address
JESSICA SUZANNE BENNETT PA-C
1497 W ELK AVE STE 11
ELIZABETHTON, TN 37643-2896
Phone number: 423-542-8929
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Mailing Address
JESSICA SUZANNE BENNETT PA-C
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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