Healthcare Provider Details

I. General information

NPI: 1760391221
Provider Name (Legal Business Name): JESSICA ANN OQUINN MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16000 JOHNSTON MEMORIAL DR
ABINGDON VA
24211-7659
US

IV. Provider business mailing address

4892 ISLAND RD APT H102
BRISTOL TN
37620-7418
US

V. Phone/Fax

Practice location:
  • Phone: 276-258-1299
  • Fax:
Mailing address:
  • Phone: 276-494-5364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number42900
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: