Individual
MRS. MELINDA JANE JETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
320 NORTH WILLOW AVENUE, COOKEVILLE, TN 38501
(931) 520-7763
(931) 646-4866
Mailing address
351 NORTON ROAD, SPARTA, TN 38583
(931) 265-9646
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
RN0000177130
TN
Other
Enumeration date
05/29/2020
Last updated
05/29/2020
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