Individual
MRS. JESSICA BREEDLOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
470 COLLIER DR, SEVIERVILLE, TN 37862-6931
(865) 286-5421
Mailing address
3266 BREEDLOVE LN, MARYVILLE, TN 37804-5525
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
34490
TN
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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