Talley-Horne, Jill R

Talley-Horne, Jill R is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 200, Johnson City TN 37604-2364. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Talley-Horne, Jill R can be contacted via phone (423) 794-1300.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste 200 Johnson City TN 37604-2364
Fax: (423) 794-1820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 26771 Tennessee

Profile Details

NPI number 1477558690
LBN Legal business name Talley-Horne, Jill R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Nov 19th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477558690 NPPES
Tennessee MEDICAID 3877371

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