Jessica Evans, PH.D.
Individual provider Active NPI Driver · Kingsport, TN
NPI 1376435644 · NPPES record last updated Jul 19, 2025
Key facts
- NPI
- 1376435644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 142807360 (TN)
- Practice address
- 1052 Rotherwood Dr
Kingsport, TN 37660-7256 - Phone
- (423) 480-7811
- Fax
- (423) 480-7811
- NPI assigned
- Jul 19, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142807360 | TN | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri City Transport, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 142807360 | TN | Yes |
Addresses
Primary practice location
1052 Rotherwood Dr
Kingsport, TN 37660-7256
Mailing address
1052 Rotherwood Dr
Kingsport, TN 37660-7256
Phone (423) 480-7811
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.