Individual
JESSICA LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
710 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5019
(865) 446-9025
Mailing address
710 MIDDLE CREEK RD, SEVIERVILLE, TN 37862-5019
(865) 446-9025
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6828
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q111454
—
TN
Enumeration date
02/26/2026
Last updated
04/06/2026
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