Amanda Ellice Jett

NPI #1427679539 in Oak Ridge, Tennessee

Provider Information

NPI Number: 1427679539
Entity Type: Individual
Name: Amanda Ellice Jett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Apr 29, 2020
Last Updated: Apr 29, 2020

Practice Location

Address: 100 ADAMS LN
City: Oak Ridge
State: Tennessee
ZIP Code: 37830-4909
Phone: (865) 483-7743

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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