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Contact Information

JESSICA D LANE, APN
1500 W ELK AVE
ELIZABETHTON, TN37643-2654
 Phone: 423-543-2584
 Fax: 423-722-2060
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JESSICA D LANE · (Female)

NPI # 1801373964
Status Active
Credentials APN
Entity Individual
Enumeration date 07/23/2018
Last updated 07/23/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • TN License # APN24503
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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