Individual
MRS. JESSICA LEA TESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
219 PRINCETON RD, JOHNSON CITY, TN 37601-2052
(423) 975-2200
Mailing address
1105 BERRY RD, ELIZABETHTON, TN 37643-3445
(423) 647-3323
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000170968
TN
Other
Enumeration date
12/21/2010
Last updated
12/21/2010
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