Individual
DR. JESSICA D HOMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
320 STEELES RD, BRISTOL, TN 37620-9532
(423) 968-2599
Mailing address
320 STEELES RD, BRISTOL, TN 37620-9532
(423) 968-2599
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD0000047222
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821209578
NPI
—
05
—
4304362
—
TN
Enumeration date
05/24/2007
Last updated
09/29/2011
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