Individual provider · Type 1 NPI
Jessica Elaine Lietz, FNP-C
Primary Care Nurse Practitioner · Fort Campbell, KY
NPI number
1124262720
Active
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 014113 (TN) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1124262720
Jessica Elaine Lietz, FNP-C's National Provider Identifier is 1124262720, issued on Apr 27, 2009. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fort Campbell, KY. The record was last updated on Apr 14, 2025.