Jackie Justice

NPI 1275894347 · on the registry since 2012 · sole proprietor

Practice

Address: 301 Mcghee St
Maryville, TN 37801
Phone: (865) 983-4582
Fax: (865) 983-4574
Organisation at this address: County Of Blount
State Of Tennessee
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 49

Registry record

Primary taxonomy: 376K00000X
376K00000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee