Individual
JESSICA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2996 WALNUT GROVE RD, WAYNESBORO, TN 38485-5358
(931) 722-8115
Mailing address
2996 WALNUT GROVE RD, WAYNESBORO, TN 38485-5358
(931) 722-8115
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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