Individual
JESSICA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HARRIS ST, WHITEVILLE, TN 38075-4862
(731) 609-8018
Mailing address
PO BOX 362, WHITEVILLE, TN 38075-0362
(731) 609-8018
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-252057
TN
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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