Individual provider Active NPI

Jessica Halsey Villier, FNP

  • Family Nurse Practitioner
  • Jonesborough, TN
National Provider Identifier
1427888072
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
36716 Issued in TN
Practice address
114 W Jackson Blvd
Jonesborough, TN 37659-1224
Phone
(423) 753-1713
NPI assigned
Aug 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 36716 TN Primary

Addresses

Primary practice location

114 W Jackson Blvd
Jonesborough, TN 37659-1224

Mailing address

2927 Watauga Rd Unit 10
Johnson City, TN 37601-3890
Phone (423) 330-0162

Other practice location 1

3815 Highway 66 S Ste 1
Rogersville, TN 37857-5197
Phone (423) 754-9648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240919003143 TN Practitioner - Nurse Practitioner 2264973049 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
36716TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 7, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 7, 2024 Accepting new patients
Southeastern Physician Services PC CurrentSince Jan 1, 2025 Accepting new patients

Locations

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1427888072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 WATAUGA RD UNIT 10",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376013890",
            "telephone_number": "423-330-0162",
            "fax_number": "423-717-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W JACKSON BLVD",
            "city": "JONESBOROUGH",
            "state": "TN",
            "postal_code": "376591224",
            "telephone_number": "423-753-1713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3815 Highway 66 S Ste 1",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378575197",
            "country_code": "US",
            "telephone_number": "423-754-9648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLIER",
        "first_name": "JESSICA",
        "middle_name": "HALSEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesborough, TN

Sources for this page

Verify at the official NPI Registry.