Walls, Jason Kendall

Walls, Jason Kendall is an individual health care provider with primary practice located at 310 North State And Franklin Road Ste 103, Johnson City TN 37604-6063. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Walls, Jason Kendall can be contacted via phone (423) 232-8301.

Contact Information

Primary practice address
310 North State And Franklin Road Ste 103 Johnson City TN 37604-6063
Phone: (423) 232-8301
Fax: (423) 232-8304
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0000000820 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA0000000820 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 820 Tennessee

Profile Details

NPI number 1942247713
LBN Legal business name Walls, Jason Kendall
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 16th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942247713 NPPES
Tennessee MEDICAID 3661736

Popular Providers