Individual provider · Type 1 NPI

Jessica Mack-Gill, MD, MS

Student in an Organized Health Care Education/Training Program · Kingsport, TN

NPI number 1700722329 Active

Practice location

102 E Ravine Rd
Kingsport, TN 37660-3814

Call (423) 245-9600 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700722329

Jessica Mack-Gill, MD, MS's National Provider Identifier is 1700722329, issued on Apr 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kingsport, TN. The record was last updated on Apr 27, 2026.