Jessica Johnson, RN,BSN
Individual provider Active NPI Home Health Registered Nurse · Jacksboro, TN
NPI 1730909409 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1730909409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 262366 (TN)
- Practice address
- 1052 Pine Hollow Rd
Jacksboro, TN 37757-3232 - Phone
- (865) 206-4008
- NPI assigned
- Oct 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262366 | TN | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 262366 | TN | Yes |
Addresses
Primary practice location
1052 Pine Hollow Rd
Jacksboro, TN 37757-3232
Mailing address
1052 Pine Hollow Rd
Jacksboro, TN 37757-3232
Phone (865) 206-4008
Other providers in Jacksboro, TN
- Candace Linnea Hutson
- Independent Physical Therapy, LLC
- Charles Aubrey Isham Jr.
- Jacksboro Urgent Care
- Daniel Howard Johnson
- Tammy R Jones
- Jeanette Marie Keith
- Anthony M. Kingsley
- Kayla Kuszlyk
- Lafollette Health Clinic Inc
All providers in Jacksboro, TN · Home Health Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. 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.