Mrs. Susan Watts Jeansonne
MD | Pediatrics | Female
Mrs. Susan Watts Jeansonne, MD is a Kingsport, Tennessee based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Mrs. Susan Watts Jeansonne is
2002 Brookside Dr, Suite 200, Kingsport, Tennessee - 37660-4634. She can be contacted on phone at
423-224-3933 and fax number 423-224-3934.
Mrs. Susan Watts Jeansonne is a sole proprietor of her business.
NPI number (Unique professional ID) for Mrs. Susan Watts Jeansonne is
1114913365 which was assigned by NPPES on 23 Sep, 2005 and it was last updated on 10 Feb, 2017.
Mrs. Susan Watts Jeansonne license number is
40530 for Pediatrics (208000000X) in Tennessee.
Mrs. Susan Watts Jeansonne is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mrs. Susan Watts Jeansonne basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mrs. Susan Watts Jeansonne |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mrs. Susan Watts Jeansonne address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2002 Brookside Dr, Suite 200
Kingsport, TN, 37660-4634
United States |
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| Phone Number : | 423-224-3933 |
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| Fax Number : | 423-224-3934 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114913365 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Sep, 2005 |
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| Last Updated On : | 10 Feb, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Susan Watts Jeansonne are as mentioned. Primary taxonomy code for Mrs. Susan Watts Jeansonne, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | 40530 | TN |
| 208000000X | Pediatrics | Yes | 40530 | TN |
| 208000000X | Pediatrics | No | MD025360 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Mrs. Susan Watts Jeansonne such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1508394 | MEDICAID | TN | |
| 1114913365 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2002 Brookside Dr, Suite 200
Kingsport, TN, 37660-4634
United States |
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| Phone Number : | 423-224-3933 |
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| Fax Number : | 423-224-3934 |
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Business Location:
Patients can refer following map for directions to
Mrs. Susan Watts Jeansonne practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.