Individual
MRS. JESSICA BURNS TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, SRNA
Contact information
Practice address
979 E 3RD ST, CHATTANOOGA, TN 37403-2136
(423) 602-8400
Mailing address
1175 PINEVILLE RD APT 174, CHATTANOOGA, TN 37405-2698
(828) 446-4259
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193430
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
AP143319
TX
Other
Enumeration date
05/21/2019
Last updated
10/22/2019
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