Provider Demographics
NPI:1902373335
Name:RICE, JESSICA HORNER
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:HORNER
Last Name:RICE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:
Other - Last Name:HORNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:4516 MAJESTIC MAGNOLIA LN
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-1593
Mailing Address - Country:US
Mailing Address - Phone:423-231-8369
Mailing Address - Fax:423-231-8369
Practice Address - Street 1:2435 JACKSBORO PIKE
Practice Address - Street 2:
Practice Address - City:LA FOLLETTE
Practice Address - State:TN
Practice Address - Zip Code:37766-2910
Practice Address - Country:US
Practice Address - Phone:423-566-2255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7011225X00000X
NC12168225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist