Organization
JWSCHEPERSMD
Active
Other names
Oasis Psychiatry and Counseling, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER WISDOM-SCHEPERS M.D. (ADMINISTRATOR/PSYCHIATRIST)
(423) 930-8390
Entity
Organization
Contact information
Practice address
207 N BOONE ST, SUITE 28, JOHNSON CITY, TN 37604-5675
(423) 930-8390
(888) 965-5582
Mailing address
207 N BOONE ST, SUITE 28, JOHNSON CITY, TN 37604-5675
(423) 930-8390
(888) 965-5582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
39325
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30006764
MEDICARE PTAN
TN
Enumeration date
03/20/2014
Last updated
04/30/2014
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