Lietz, Jessica Elaine
Lietz, Jessica Elaine is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Lietz, Jessica Elaine can be contacted via phone (270) 798-8400.Contact Information
Primary practice address
650 Joel Dr
Fort Campbell KY 42223-5318
Phone: (270) 798-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 014113 | Tennessee |
Profile Details
| NPI number | 1124262720 |
|---|---|
| LBN Legal business name | Lietz, Jessica Elaine |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2009 |
| Last updated | Aug 4th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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