Search › Tennessee › 363AM0700X
Jerome Tina
NPI 1467187229 · on the registry since 2022 · sole proprietor
Practice
- Address
- 155 Jim Ford Rd
Jonesborough, TN 37659 - Phone
- (516) 967-0805
Additional practice sites
- 800 S Mohawk Dr Ste C, Erwin, TN
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363AM0700X
363A00000X
363A00000X - Licence states on file
- VA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee