Individual
JAELYN DEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2817 BARTLETT BLVD, BARTLETT, TN 38134-4529
(901) 371-0770
(901) 371-9892
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0000003546
TN
Other
Enumeration date
09/14/2019
Last updated
06/24/2022
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