Organization
JONESBOROUGH ADULT & GERIATRIC MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERIKA C JEWETT ANP (PRESIDENT)
(423) 788-0123
Entity
Organization
Contact information
Practice address
121 E MAIN ST, JONESBOROUGH, TN 37659-1317
(423) 788-0123
Mailing address
PO BOX 404, JONESBOROUGH, TN 37659-0404
(423) 788-0123
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14866
TN
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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