MEDICARE: MS. JENNA CARSON FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	20935	TN

General Provider Information

NPI Number	:	1528593126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNA CARSON FNP-BC

Provider Business Mailing Address
First Line	:	1730 OLD GRAY STATION RD
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37615-3869
Country	:	US
Telephone Number	:	423-291-6896
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 OLD GRAY STATION RD
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37615-3869
Country	:	US
Telephone Number	:	423-226-0954
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2017
Last Update Date	:	02/27/2024

Similar Medicare Providers

1336636158 — FOUNDATION MEDICAL, INC.
Practice Location Address:

1730 OLD GRAY STATION RD
JOHNSON CITY, TN
37615-3869

Practice Phone: 423-202-3008
Practice Fax: 423-202-7835

1134490881 — NUNYA HEALTH GROUP LLP
Practice Location Address:

31 MONTGOMERY ST , SUITE 4
JERSEY CITY, NJ
07302-3869

Practice Phone: 201-721-6130
Practice Fax: 201-918-6864

1548638422 — DR. ALLISON JEANNE GILL DPT
Practice Location Address:

31 MONTGOMERY ST , STE 4
JERSEY CITY, NJ
07302-3869

Practice Phone: 201-721-6130
Practice Fax: 201-918-6864

1114465739 — ELIZABETH WICK PTA
Practice Location Address:

31 MONTGOMERY ST , STE 4
JERSEY CITY, NJ
07302-3869

Practice Phone: 201-721-6130
Practice Fax: 201-918-6864

1922525906 — CHRISTOPHER CID
Practice Location Address:

31 MONTGOMERY ST STE 4
JERSEY CITY, NJ
07302-3869

Practice Phone: 201-721-6130
Practice Fax: 201-918-6864

1629610746 — WOO JIN CHO
Practice Location Address:

31 MONTGOMERY ST STE 3
JERSEY CITY, NJ
07302-3869

Practice Phone: 201-451-1600
Practice Fax:

Directions to “ MS. JENNA CARSON FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.