Johnson, Jessica
Johnson, Jessica is an individual health care provider with primary practice located at 1422 Old Weisgarber Rd , Knoxville TN 37909-1293. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant is her primary health care specialty. Johnson, Jessica can be contacted via phone (865) 558-4400.Contact Information
Primary practice address
1422 Old Weisgarber Rd
Knoxville TN 37909-1293
Phone: (865) 558-4400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant | 246ZX2200X | 819 | Tennessee |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 819 | Tennessee |
Profile Details
NPI number | 1366870305 |
---|---|
LBN Legal business name | Johnson, Jessica |
Credentials | OPA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 30th, 2013 |
Last updated | May 14th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366870305 | NPPES |
Tennessee | MEDICAID | Q007108 |
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