Individual
JO-ANN S. MARRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2151 CENTURY LN, JOHNSON CITY, TN 37604-4469
(423) 926-2500
(423) 926-5999
Mailing address
PO BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4078
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN005091
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100043092
PHP
TN
05
—
3348895
—
TN
01
—
4052732
BLUECROSSBLUESHIELD
TN
01
—
TN01J7
JOHN DEERE
TN
Enumeration date
06/30/2006
Last updated
05/13/2015
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