Individual provider · Type 1 NPI

Hannah Jo Pettit, PA-C

Surgical Physician Assistant · Johnson City, TN

NPI number 1558092700 Active

Practice location

2410 Susannah St
Johnson City, TN 37601-1748

Call (423) 282-9011 Map

Fax (423) 282-0035

Mailing address

1909 Jamestown Rd
Johnson City, TN 37604-7640

Other practice locations

  • 340 Steeles Rd, Bristol, TN 37620-9532 · (423) 722-0284
  • 875 Larry Neil Way, Kingsport, TN 37660-6368 · (423) 282-9011

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5062 (TN)
Physician Assistant 363A00000X5062 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1558092700

Hannah Jo Pettit, PA-C's National Provider Identifier is 1558092700, issued on Jun 20, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Johnson City, TN. The record was last updated on Jun 20, 2022.