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Individual
ANTHONY M. JETT
Active
Individual
ANTHONY M. JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0000176774
TN
363LF0000X
Family Nurse Practitioner
31292
TN
Other
Enumeration date
07/13/2020
Last updated
03/04/2022
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