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NPI Code Detail

MEDICARE: JESSICA HORNER RICE

MEDICARE: JESSICA HORNER RICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist7011TN
2225X00000XOccupational Therapist12168NC

General Provider Information

NPI Number : 1902373335
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA HORNER RICE
Provider Business Mailing Address
First Line : 4516 MAJESTIC MAGNOLIA LN
Second Line :
City : MORRISTOWN
State : TN
Zip : 37814-1593
Country : US
Telephone Number : 423-231-8369
Fax Number : 423-231-8369
Provider Business Practice Location Address
First Line : 2435 JACKSBORO PIKE
Second Line :
City : LA FOLLETTE
State : TN
Zip : 37766-2910
Country : US
Telephone Number : 423-566-2255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2018
Last Update Date : 08/21/2023

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Directions to “ JESSICA HORNER RICE ” Practice Location

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