Jessica Jean Godsey, LPN
Individual provider Active NPI Licensed Practical Nurse · Harriman, TN
NPI 1770280596 · NPPES record last updated Feb 13, 2023
Key facts
- NPI
- 1770280596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 0000067631 (TN)
- Practice address
- 326 Washington Dr
Harriman, TN 37748-6202 - Phone
- (865) 313-6783
- NPI assigned
- Feb 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000067631 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 0000067631 | TN | Yes |
Addresses
Primary practice location
326 Washington Dr
Harriman, TN 37748-6202
Mailing address
326 Washington Dr
Harriman, TN 37748-6202
Phone (865) 313-6783
Other providers in Harriman, TN
- Zachary Frye
- Brittney Garrett
- Kristen May Gilliam
- Bethanie Gilmore
- Amanda L Godsey
- Jill Kristina Goldston
- Garry L Gordon II
- Corinna Fiona Graham
- Kristina M Graham
- Jackie Lynn Greene-Gunter
All providers in Harriman, TN · Licensed Practical Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.