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Jessica Green
NPI 1790694503 · on the registry since 2026
Practice
- Address
- 202 W Fairview Ave
Johnson City, TN 37604 - Phone
- (423) 439-7371
- Organisation at this address
- East Tennessee State University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-05
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