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Individual

JESSICA ELISE PUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
105 W PARK DR, KINGSPORT, TN 37660-3805
(423) 224-3220
Mailing address
105 W PARK DR, KINGSPORT, TN 37660-3805
(423) 224-3220

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
55537
TN
208M00000X
Hospitalist Physician
55537
TN

Other

Enumeration date
04/12/2013
Last updated
09/03/2025
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