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NPI Code Detail

MEDICARE: DR. JENNIFER C. WISDOM-SCHEPERS MD

MEDICARE: DR. JENNIFER C. WISDOM-SCHEPERS MD
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
12084P0800XPsychiatry Physician39325TN

General Provider Information

NPI Number : 1447264361
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER C. WISDOM-SCHEPERS MD
Provider Business Mailing Address
First Line : 3114 BROWNS MILL RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-1417
Country : US
Telephone Number : 423-631-0432
Fax Number : 423-631-0284
Provider Business Practice Location Address
First Line : 3114 BROWNS MILL RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-1417
Country : US
Telephone Number : 423-631-0432
Fax Number : 423-631-0284
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 08/17/2023

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