Individual
JASON L ALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
109 W WATAUGA AVE, JOHNSON CITY, TN 37604-5668
(423) 232-2600
(423) 467-3644
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000162518
TN
363LF0000X
Family Nurse Practitioner
23142
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23142
TN
Other
Enumeration date
11/04/2009
Last updated
05/15/2024
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