Healthcare Provider Details

I. General information

NPI: 1346937117
Provider Name (Legal Business Name): FATIMA JAMSHAID MBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2023
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 N STATE OF FRANKLIN RD
JOHNSON CITY TN
37604-6062
US

IV. Provider business mailing address

STANTON-GERBER HALL, VA BUILDING 178, MAPLE AVENUE FIRST FLOOR, WING A, ROOM A-102
JOHNSON CITY TN
37614
US

V. Phone/Fax

Practice location:
  • Phone: 423-439-7280
  • Fax: 423-439-7314
Mailing address:
  • Phone: 423-439-8023
  • Fax: 423-439-8910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: