Individual provider · Type 1 NPI

Jared W. Pack, DO

Internal Medicine Physician · Johnson City, TN

NPI number 1396163101 Active

Practice location

2408 Susannah St Ste 1
Johnson City, TN 37601-1765

Fax (423) 461-0000

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X2980 (TN)
Hospitalist Physician 208M00000X2980 (TN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1396163101

Jared W. Pack, DO's National Provider Identifier is 1396163101, issued on Mar 31, 2014. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Johnson City, TN. The record was last updated on Dec 30, 2025.