Jessica Revelle Rains, PHYSICIAN ASSISTANT

NPI #1144516964 in Ripley, Tennessee

Provider Information

NPI Number
1144516964
Entity Type
Individual
Name
Jessica Revelle Rains, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Jun 20, 2011
Last Updated
Jun 20, 2011

Practice Location

Address
326 ASBURY AVE
Address 2
SUITE 101
City
Ripley
ZIP Code
38063-5577
Phone
(731) 221-1637

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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