Individual
JESSA CLAIRE BIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6697 STAGE RD, BARTLETT, TN 38134-3867
(901) 373-6498
Mailing address
398 HOLLY GROVE RD, COVINGTON, TN 38019-3617
(901) 389-8601
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000044595
TN
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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