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Individual

JESSICA L LIVINGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN

Contact information

Practice address
3720 N BROADWAY ST, KNOXVILLE, TN 37917-3120
(865) 315-8353
(865) 314-8364
Mailing address
3720 N BROADWAY ST, KNOXVILLE, TN 37917-3120
(865) 315-8353
(865) 314-8364

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
145970
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13406
TN

Other

Enumeration date
04/02/2008
Last updated
01/13/2016
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