Jonesborough Adult & Geriatric Medicine LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

14866 Issued in TN

Legal business name

JONESBOROUGH ADULT & GERIATRIC MEDICINE LLC

Practice address

121 E Main St
Jonesborough, TN 37659-1317

Phone

(423) 788-0123

NPI assigned

Jan 3, 2011

Organization subpart

No

Name

Ms. Erika C Jewett, ANP

Title

President

Phone

(423) 788-0123

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael E Jewett, M.D.

  • Family Medicine Physician
  • Jonesborough, TN
  • NPI 1780648063
  NPD (past)
• Erika C Matney, ANP

  • Adult Health Nurse Practitioner
  • Lynchburg, VA
  • NPI 1710002431
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2011.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1336443555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376590404",
            "telephone_number": "423-788-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E MAIN ST",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591317",
            "telephone_number": "423-788-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESBOROUGH ADULT & GERIATRIC MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "JEWETT",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-788-0123",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Healthcare of Jonesborough, LLC
• J & L Street Inc
• Rebekah Page Jackson, OTR/L
• Michael E Jewett, M.D.
• Katlynn Lee Johnson, IBCLC
• Jonesborough Drug
• Jonesborough Eye Clinic, PLLC
• Jonesborough Medical PLLC
• K-VA-T Food Stores Inc
• William E. Kennedy, M.D.

• All providers in Jonesborough, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.