Individual
JULIE A JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1907 W MORRIS BLVD, HEALTHSTAR PHYSICIANS STE G, MORRISTOWN, TN 37813
(423) 318-0014
(423) 318-2595
Mailing address
1907 W MORRIS BLVD, HEALTHSTAR PHYSICIANS STE G, MORRISTOWN, TN 37813
(423) 318-0014
(423) 318-2595
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DO1497
TN
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
DO1497
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3307672
—
TN
Enumeration date
05/11/2006
Last updated
06/24/2008
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