Individual
JESSICA M BAITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7557B DANNAHER DR, POWELL, TN 37849-3568
(865) 512-2450
Mailing address
2587 DERBY WAY, SEVIERVILLE, TN 37876-7925
(865) 207-3237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
341647
NC
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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