Individual
JESSICA LEIGH KETNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3762 DURHAM RD STE A, ROXBORO, NC 27573-2741
(336) 330-0400
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
110623
WV
363L00000X
Nurse Practitioner
1176855
TX
363L00000X
Nurse Practitioner
Primary
5015241
NC
363LF0000X
Family Nurse Practitioner
18846
TN
Other
Enumeration date
07/23/2014
Last updated
03/20/2025
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