Individual
JACLYN MARIE CECILIA GRIFFITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1723 MOUNT VERNON DR NW, CLEVELAND, TN 37311-3539
(423) 473-2633
(423) 473-2643
Mailing address
1723 MOUNT VERNON DR NW, CLEVELAND, TN 37311-3539
(423) 473-2633
(423) 473-2643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
230136
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
32373
TN
Other
Enumeration date
09/14/2022
Last updated
01/24/2024
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