Individual
JESSICA GULCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP
Contact information
Practice address
5906 MAIN ST STE 132, OOLTEWAH, TN 37363-9297
(423) 468-1226
Mailing address
5906 MAIN ST STE 132, OOLTEWAH, TN 37363-9297
(423) 468-1226
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
0024177824
VA
363LA2100X
Acute Care Nurse Practitioner
Primary
31312
TN
363LF0000X
Family Nurse Practitioner
71012727A
IN
363LG0600X
Gerontology Nurse Practitioner
71012727A
IN
Other
Enumeration date
07/03/2019
Last updated
07/30/2024
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