Individual provider · Type 1 NPI

Caroline Derrick Stephens, PA

Physician Assistant · Johnson City, TN

NPI number 1124637905 Active

Practice location

2340 Knob Creek Rd Ste 704
Johnson City, TN 37604-2977

Call (423) 929-9101 Map

Mailing address

1568 Raccoon Ln
Piney Flats, TN 37686-2934

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1124637905

Caroline Derrick Stephens, PA's National Provider Identifier is 1124637905, issued on Jul 28, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Johnson City, TN. The record was last updated on Jan 22, 2026.