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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366870305 NPPES
Tennessee MEDICAID Q007108

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