JESSICA D LANE

ELIZABETHTON, TN
NPI1801373964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: TN  APN24503)
Enumeration Date2018-07-23
Last Update Date2018-07-23
Business Address
Mrs. JESSICA D LANE APN
1500 W ELK AVE
ELIZABETHTON, TN 37643-2654
Phone number: 423-543-2584
Mailing Address
Mrs. JESSICA D LANE APN
401 E MAIN ST
JOHNSON CITY, TN 37601-4877
Phone number: 423-431-0509
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