Individual
JESSICA MYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
254 REN MAR DR, PLEASANT VIEW, TN 37146-3722
(615) 746-0203
Mailing address
254 REN MAR DR, PLEASANT VIEW, TN 37146-3722
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
216509
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
27910
TN
Other
Enumeration date
07/27/2020
Last updated
09/13/2023
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