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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PAUL L JETT, MD

Active

PAUL L JETT, MD is a Pain Medicine (PM&R) healthcare provider located in KINGSPORT, Tennessee. NPI 1780634469 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · KINGSPORT, TN

Registration Details

NPI Number
1780634469
Provider Type
Individual
Gender
Male
NPI Issued
May 11, 2006 (20.299249741894 yrs)
Last Updated
Mar 21, 2023
Licenses
0101272721 (VA)
MD39397 (TN)
0101272721 (VA)
MD39397 (TN)

Practice Information

Address
2205 PAVILION DR STE 201
KINGSPORT, TN, 376604614
Browse TN providers · Browse ZIP 37660
Phone
4233926000
Primary Specialty
Pain Medicine (PM&R)
2081P2900X
Additional Specialty
Pain Medicine (PM&R)
Additional Specialty
Pain Medicine (PM&R)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.