Individual
JESSICA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
1052 PINE HOLLOW RD, JACKSBORO, TN 37757-3232
(865) 206-4008
Mailing address
1052 PINE HOLLOW RD, JACKSBORO, TN 37757-3232
(865) 206-4008
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
262366
TN
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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