Individual
DR. GREGORY EDMUND JEANSONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7101 JAHNKE RD, RICHMOND, VA 23225-4044
(804) 483-6305
(804) 483-6159
Mailing address
2202 N JOHN B DENNIS HWY STE 100, KINGSPORT, TN 37660-5904
(423) 245-3161
(423) 857-8129
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036150676
IL
207X00000X
Orthopaedic Surgery Physician
25IA12989500
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
40154
TN
207X00000X
Orthopaedic Surgery Physician
424-320
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952344723
—
VA
05
—
3817403
—
TN
01
—
MD025630
LICENSE
LA
01
—
MD040154
LICENSE
TN
Enumeration date
06/13/2006
Last updated
02/25/2026
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