Individual
JESSIKA LEEANN MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
10731 CHAPMAN HWY, SEYMOUR, TN 37865-4765
(865) 573-0698
(865) 573-3174
Mailing address
1923 SULPHUR SPRINGS RD, MORRISTOWN, TN 37813-5654
(423) 317-9344
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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