Individual
JESSICA NAOMI ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
815 W 5TH NORTH ST, MORRISTOWN, TN 37814-3810
(423) 586-5032
(423) 581-8473
Mailing address
6350 W ANDREW JOHNSON HWY DEPT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN81004
TN
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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