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

MR. JASON KENDALL WALLS, PA

Active

MR. JASON KENDALL WALLS, PA is a Medical Physician Assistant healthcare provider located in JOHNSON CITY, Tennessee. NPI 1942247713 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · JOHNSON CITY, TN

Registration Details

NPI Number
1942247713
Provider Type
Individual
Gender
Male
NPI Issued
Jun 1, 2006 (20.189083357514 yrs)
Last Updated
Mar 16, 2011
Licenses
PA0000000820 (TN)
PA0000000820 (TN)
820 (TN)

Practice Information

Address
310 NORTH STATE AND FRANKLIN ROAD
STE 103
JOHNSON CITY, TN, 376046063
Browse TN providers · Browse ZIP 37604
Phone
4232328301
Fax
4232328304
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Emergency Medicine

Other Medical Physician Assistant Providers in JOHNSON CITY, TN

Name Credential NPI
MR. JAMES LEE MYERS PA-C 1578537320
BRITTANY M CANTRELL P.A. 1497719322
HEATHER L COBURN PA-C 1932165545
MR. MELVIN JAMES WILLIS PA 1700828977
MR. ROBERT J FINKE PA 1437192648
RACHEL E KEYT PA 1366471641
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.