Individual
JESSICA MAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
153 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2517
(865) 475-9969
(865) 475-9901
Mailing address
153 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2517
(865) 475-9969
(865) 475-9901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21706
TN
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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