Individual
JESSICA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
600 N MURRAY ST, GAINESBORO, TN 38562-9313
(931) 268-0218
Mailing address
600 N MURRAY ST, GAINESBORO, TN 38562-9313
(931) 268-0218
(931) 268-0872
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
81090
TN
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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