| Jwschepersmd | |
|
207 N Boone St Suite 28 Johnson City TN 37604-5675 | |
| (423) 930-8390 | |
| (888) 965-5582 |
| Full Name | Jwschepersmd |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 207 N Boone St, Johnson City, Tennessee |
| Authorized Official Name and Position | Jennifer Wisdom-schepers (ADMINISTRATOR/PSYCHIATRIST) |
| Authorized Official Contact | 4239308390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jwschepersmd 207 N Boone St Suite 28 Johnson City TN 37604-5675 Ph: (423) 930-8390 | Jwschepersmd 207 N Boone St Suite 28 Johnson City TN 37604-5675 Ph: (423) 930-8390 |
| NPI Number | 1487071171 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487071171 | NPI | - | NPPES |
| 30006764 | Other | TN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 39325 (Tennessee) | Primary |
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