Individual
MRS. JESSICA BROYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 TUSCULUM BLVD, GREENEVILLE, TN 37745-4249
(423) 636-1344
(423) 636-8951
Mailing address
1355 TUSCULUM BLVD, GREENEVILLE, TN 37745-4249
(423) 636-1344
(423) 636-8951
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0000029427
TN
Other
Enumeration date
11/04/2012
Last updated
11/04/2012
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