Individual provider · Type 1 NPI

Jason S. Nicholson, FNP

Family Nurse Practitioner · Johnson City, TN

NPI number 1790237394 Active

Practice location

301 Med Tech Pkwy Ste 120
Johnson City, TN 37604-2364

Call (423) 794-5590 Map

Fax (423) 794-5877

Mailing address

PO Box 632476
Cincinnati, OH 45263-2476

Other practice locations

  • 2151 Century Lane, Johnson City, TN 37604-4469 · (423) 926-2500

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X21978 (TN)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1790237394

Jason S. Nicholson, FNP's National Provider Identifier is 1790237394, issued on Oct 30, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Johnson City, TN. The record was last updated on Feb 20, 2025.