Jessica Broyles, RD, LDN is a
Dietitian, Registered based in New Tazewell, Tennessee. Jessica Broyles is licensed to practice in Tennessee (license number 2071) and her current practice location is
620 Davis Dr, New Tazewell, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(423) 626-4291.
NPI number for Jessica Broyles is 1366680423 and her current mailing address is 620 Davis Dr, New Tazewell, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366680423.
Healthcare Provider's Profile
Full Name | Jessica Broyles |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 620 Davis Dr, New Tazewell, Tennessee |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366680423
- Provider Enumeration Date: 01/28/2009
- Last Update Date: 05/15/2018
Medical Identifiers
Medical identifiers for Jessica Broyles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366680423 | NPI | - | NPPES |
2071 | Other | TN | REGISTERED DIETITIAN LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 2071 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Broyles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Broyles, RD, LDN 620 Davis Dr, New Tazewell, TN 37825-2152 Ph: () - | Jessica Broyles, RD, LDN 620 Davis Dr, New Tazewell, TN 37825 Ph: (423) 626-4291 |
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