Individual
MRS. JACQUELINE LOUISE CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 MCGHEE ST, MARYVILLE, TN 37801-6811
(865) 983-4582
(865) 681-0079
Mailing address
301 MCGHEE ST, MARYVILLE, TN 37801-6811
(865) 983-4582
(865) 681-0079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000075589
TN
Other
Enumeration date
12/07/2007
Last updated
07/22/2009
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