NPI 1275894347

Jackie Leanne Justice

Practitioner Nurse's Aide Maryville, TN

Practice location

Address: 301 McGhee St, Maryville, TN 37801-6811
Phone: (865) 983-4582
Fax: (865) 983-4574

Registered specialties

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 93903 (TN)

Other Nurse's Aide providers in Tennessee →

Registry record

NPI: 1275894347
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2012
Record last updated: 5 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.