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Individual

JESSICA NICOLE RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
Mailing address
5736 MANCHESTER HWY, MORRISON, TN 37357
(931) 815-3871

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
0000093248
TN

Other

Enumeration date
08/16/2022
Last updated
08/16/2022
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