Individual
JACQUELINE HEATHER EDLEBLUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9400 RHEA COUNTY HWY, DAYTON, TN 37321-7922
(423) 775-1121
Mailing address
3242 ROLLING MEADOW WAY, CLEVELAND, TN 37323-5112
(717) 825-6705
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
31469
TN
Other
Enumeration date
04/14/2020
Last updated
12/30/2024
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