Organization
JESSICA LIVINGSTON MSN APRN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LIVINGSTON (OWNER/ CEO)
(865) 405-1358
Entity
Organization
Contact information
Practice address
3720 N BROADWAY ST, KNOXVILLE, TN 37917-3120
(865) 315-8353
Mailing address
3720 N BROADWAY ST, KNOXVILLE, TN 37917-3120
(865) 315-8353
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
13406
TN
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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