JESSICA FRESHOUR (NPI# 1275877755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275877755 |
| Entity Type | Individual |
| Full Name | JESSICA FRESHOUR |
| Credential | PHARMD |
| Practice Address |
807 University Pkwy Maple Avenue, Building 7, Suite 312 Johnson City TN 37614-6500 |
| Mailing Address |
3 Alta Tree Ct Johnson City TN 37604-4600 |
| Practice Telephone | 4234396742 |
| Practice Fax Number | 4234396784 |
| Mailing Telephone | 4234396742 |
| Mailing Fax Number | 4234396784 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 34351 | TN | Pharmacy Service Providers |
| Street Address |
807 UNIVERSITY PKWY MAPLE AVENUE, BUILDING 7, SUITE 312 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37614-6500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811960644 | Kerry L. Holland | Psychologist | 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614-6500 | 2006-02-10 |
| 1700222585 | Mark David Linville Jr. | General Practice | 807 University Pkwy, Johnson City, TN 37614-6500 | 2013-05-20 |
| 1447503198 | Mary Jo Davenport | Physical Therapist | 807 University Pkwy, Box 70403, Johnson City, TN 37614-1703 | 2012-10-18 |
| 1811240567 | David A Arnall | Physical Therapist | 807 University Pkwy, Box 70403, Johnson City, TN 37614-1703 | 2012-10-18 |
| 1144573114 | Duane A. Williams | Physical Therapist | 807 University Pkwy, Box 70403, Johnson City, TN 37614-6500 | 2012-10-16 |
| 1356694301 | William Andrew Clark | Dietitian, Registered | 807 University Pkwy, Box 70403, Johnson City, TN 37614-6500 | 2012-10-16 |
| 1447506795 | Michelle Lanphere Lee | Dietitian, Registered | 807 University Pkwy, Box 70403, Johnson City, TN 37614-1703 | 2012-07-24 |
| 1194070946 | Jon R. Webb | Psychologist | 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614-6500 | 2012-07-18 |
| 1073872776 | Etsu Behavioral Health and Wellness Clinic | Community/Behavioral Health | 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614-6500 | 2012-05-15 |
| 1821365735 | Melisha Dawn Christian | Nurse Practitioner | 807 University Pkwy, Box 70267, Johnson City, TN 37614-6500 | 2011-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1326682493 | Yoshihiro Kojima | Specialist/Technologist | 127 W John Robert Bill Dr, Johnson City, TN 37614 | 2019-11-01 |
| 1205360104 | Charlotte Lynn Alexander | Student in an Organized Health Care Education/Training Program | Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 | 2017-04-18 |
| 1679006787 | Joel Whipple | Student in an Organized Health Care Education/Training Program | Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 | 2017-04-05 |
| 1497295711 | Charles Faust | Dental Hygienist | 1276 Gilbreath Dr, Johnson City, TN 37614 | 2017-03-06 |
| 1265889414 | Dyan Darang | Student in an Organized Health Care Education/Training Program | Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 | 2016-05-18 |
| 1194170142 | Katharine Ann Lasher | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 | 2016-04-27 |
| 1992150189 | Nishika Shina Moradia | Student in an Organized Health Care Education/Training Program | East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 | 2016-04-26 |
| 1962884429 | Apurva Bansal | Student in an Organized Health Care Education/Training Program | 325 North State of Franklin, Johnson City, TN 37614 | 2015-06-22 |
| Find all providers in zip 37614 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1639798861 | Eric Lockner | Pharmacist | 1940 S Roan St, Johnson City, TN 37601-7559 | 2020-04-08 |
| 1043766934 | Lindsay Deanne Vance | Pharmacist | 2403 Browns Mill Rd, Apartment 15, Johnson City, TN 37604-1972 | 2016-08-30 |
| 1477946432 | Mark Hodges | Pharmacist | 2120 S Roan St Ste 100, Johnson City, TN 37601-7675 | 2015-03-13 |
| 1346648268 | Jesse Mullins | Pharmacist | 121 Boone Ridge Dr, Suite 1006, Johnson City, TN 37615 | 2014-12-09 |
| 1063811479 | Nicolas Christopher Lopez | Pharmacist | 69 Dogwood Dr, Johnson City, TN 37684 | 2014-08-21 |
| 1013345792 | Karen Meyer | Pharmacist | 1906 Waters Edge Dr, Johnson City, TN 37604-8317 | 2013-10-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1982036927 | Brooklyn Nelson | Pharmacist | 1021 W Oakland Ave Ste 301, Johnson City, TN 37604-2192 | 2013-08-01 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37614 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.