Individual
JESSA GILLASPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 JEFFERSON AVE, MEMPHIS, TN 38105-5003
(901) 448-6580
(901) 448-4734
Mailing address
3633 APPLING LAKE DR, BARTLETT, TN 38133-2705
(901) 481-0153
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
L000000012263
TN
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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