Individual
KAITLYN GOUGE MCCARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1646 RUSSELL AVE, JEFFERSON CITY, TN 37760-2204
(865) 471-2000
Mailing address
1646 RUSSELL AVE, JEFFERSON CITY, TN 37760-2204
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
35003
TN
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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