Individual
JESSICA GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5544 OLD HICKORY BLVD, HERMITAGE, TN 37076-2576
(615) 515-0029
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
(615) 425-4200
(615) 425-4201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4048
TN
363AM0700X
Medical Physician Assistant
Primary
4048
TN
Other
Enumeration date
04/20/2020
Last updated
06/25/2025
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