Individual
JACQUELYN BLAIRE WORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1503 S MAIN ST, CROSSVILLE, TN 38555-5967
(931) 484-6196
Mailing address
456 MILLER RD, PIKEVILLE, TN 37367-3036
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
258391
TN
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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