person
Jack Irvin Killman, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Johnson City, Tennessee
NPI 1124887534

Jack Irvin Killman is a Psychiatric/Mental Health Nurse Practitioner based in Johnson City, TN and is specialized in Psychiatric/Mental Health. Jack Irvin Killman practices in Johnson City, TN and has the professional credentials of PMHNP-BC. The NPI Number for Jack Irvin Killman is 1124887534 and holds a License No. 35865 (Tennessee).

The current practice location address for Jack Irvin Killman is Lamont St. And Veterans Way, Johnson City, TN and can be reached out via phone at 423-767-6306.

Location: Lamont St. And Veterans Way, Johnson City, TN, 37604-1614
person
Provider Profile Details
NPI Number
1124887534
Provider Name
Jack Irvin Killman
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
Lamont St. And Veterans Way, Johnson City, TN, 37604-1614
Phone Number
423-767-6306
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
Lamont St. And Veterans Way
City
State
Zip
37604
Phone Number
423-767-6306
Fax Number
person
Provider Business Mailing Address Details
Address
Lamont St. And Veterans Way
City
State
Zip
37604
Phone Number
423-767-6306
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
35865 (Tennessee)
Definition
Definition to come...
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