Individual
DR. JESSICA MACK-GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MS
Contact information
Practice address
102 E RAVINE RD, KINGSPORT, TN 37660-3814
(423) 245-9600
Mailing address
102 E RAVINE RD, KINGSPORT, TN 37660-3814
(423) 245-9600
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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