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Individual

JESSICA A HERRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C

Contact information

Practice address
2863 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 664-1375
(731) 660-8368
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 425-5783

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2352
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q004319
TN
Enumeration date
06/24/2013
Last updated
11/15/2017
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