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Individual

JESSICA LEANE SMITH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2202 N JOHN B DENNIS HWY STE 204, KINGSPORT, TN 37660-5904
(423) 245-1040
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 952-2111

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6555
TN
363AS0400X
Surgical Physician Assistant
6555
TN

Other

Enumeration date
04/07/2021
Last updated
11/10/2025
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