Individual
JESSICA E BOSHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 N ELLINGTON PKWY STE 102, LEWISBURG, TN 37091-2227
(931) 359-0019
Mailing address
1090 N ELLINGTON PKWY STE 102, LEWISBURG, TN 37091-2227
(931) 490-7019
(931) 490-4654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18481
TN
Other
Enumeration date
10/10/2014
Last updated
05/12/2021
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