Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSICA ELAINE LIETZ, FNP-C
ActivePrimary Care Nurse Practitioner · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1124262720
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 27, 2009 (16.983831572254 yrs)
- Last Updated
- Apr 14, 2025
- License
-
014113 (TN)
Practice Information
- Address
-
650 JOEL DRFORT CAMPBELL, KY, 422235318Browse KY providers · Browse ZIP 42223
- Phone
- 2707988400
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Other Primary Care Nurse Practitioner Providers in FORT CAMPBELL, KY
| Name | Credential | NPI |
|---|---|---|
| MS. CHRISTY BAYLESS DAUGHTRY | FNP-BC | 1316125800 |
| POLLY ERIN BOYER | NP | 1902241540 |
| MR. BRYAN CLAPSADDLE | NURSE PRACTITIONER | 1427508357 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.