Individual
JESSE ALEN RAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1012 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5132
(865) 637-9711
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
254685
TN
Other
Enumeration date
10/11/2017
Last updated
11/05/2021
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