Individual
JAYLEN KISHUN NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
2146 FRAYSER BLVD, MEMPHIS, TN 38127-5755
(901) 302-4361
(865) 342-0121
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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