SearchTennessee390200000X

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