Organization
WEST SIDE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET DEESE (OWNER)
(865) 862-4575
Entity
Organization
Contact information
Practice address
9957 KINGSTON PIKE, STE. 105, KNOXVILLE, TN 37922-6908
(865) 862-4575
(865) 862-4574
Mailing address
9957 KINGSTON PIKE, STE. 105, KNOXVILLE, TN 37922-6908
(865) 862-4575
(865) 862-4574
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1994
TN
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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