SearchTennessee2085R0202X

Jayson Vittori

NPI 1912130030 · on the registry since 2009

Practice

Address
130 W Ravine Rd
Kingsport, TN 37660
Phone
(423) 968-1144
Organisation at this address
Walgreen Co
Id Micro Pllc
Wps Providers Inc
Kingsport Consultants
Wellmont Health System
Inferred from a shared address, not stated in the registry.
Clinicians at this address
198

Additional practice sites

  • 20 York St, New Haven, CT
  • 20 York St, New Haven, CT

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
390200000X
2085R0202X
Licence states on file
CT, TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-26

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