Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jessica Elaine Lietz, FNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1124262720

Mrs. Jessica Elaine Lietz, FNP-C is a Primary Care Nurse Practitioner in Fort Campbell, Kentucky. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 014113 (TN)

Record details

NPI number1124262720
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 27, 2009
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

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