Individual
JESSICA ANN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10120 SR 56, COALMONT, TN 37313-2505
(423) 779-4002
Mailing address
PO BOX 561, BEERSHEBA SPRINGS, TN 37305-0561
(423) 987-0072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5339
TN
Other
Enumeration date
01/20/2023
Last updated
05/31/2023
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