Individual
JESSICA PRATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 MED TECH PKWY STE 120, JOHNSON CITY, TN 37604-2631
(423) 794-5590
(423) 794-5877
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2746
(423) 794-5590
(423) 794-5877
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25586
TN
363LF0000X
Family Nurse Practitioner
5011599
NC
Other
Enumeration date
03/19/2019
Last updated
02/20/2025
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