Individual
JAIME TESSIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8410 FRONT GATE CIR, OOLTEWAH, TN 37363-9511
(423) 488-1983
Mailing address
8410 FRONT GATE CIR, OOLTEWAH, TN 37363-9511
(423) 488-1983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN167645
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
14408
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
734816548A
—
GA
Enumeration date
10/02/2006
Last updated
07/21/2010
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