Healthcare Provider Details

I. General information

NPI: 1487594552
Provider Name (Legal Business Name): JESUS AND JOY HOLISTIC HEALTH PRACTITIONERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4029 LAVERGNE COUCHVILLE PIKE
ANTIOCH TN
37013-1402
US

IV. Provider business mailing address

4029 LAVERGNE COUCHVILLE PIKE
ANTIOCH TN
37013-1402
US

V. Phone/Fax

Practice location:
  • Phone: 629-777-2545
  • Fax:
Mailing address:
  • Phone: 629-777-2545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License Number
License Number State

VIII. Authorized Official

Name: JUNIPER JILLIAN JOY
Title or Position: OWNER
Credential: PAIN AND TRAUMARECOV
Phone: 629-777-2545