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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JAMIE L BACK, REGISTERED

Active Sole Proprietor

Electronic Diagnostic Technologist · FORT CAMPBELL, KY

Registration Details

NPI Number
1881837755
Provider Type
Individual
Gender
Female
NPI Issued
Apr 8, 2009 (17.037996392264 yrs)
Last Updated
Apr 8, 2009
License
8325 (TN)
Sole Proprietor
Yes

Practice Information

Address
650 JOEL DR
FORT CAMPBELL, KY, 422235318
Browse KY providers · Browse ZIP 42223
Phone
2709560088
Primary Specialty
Electronic Diagnostic Technologist
246ZE0500X
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.