JACK IRVIN KILLMAN

JOHNSON CITY, TN
NPI1124887534
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TN  35865)
Enumeration Date2024-03-18
Last Update Date2024-08-09
Business Address
JACK IRVIN KILLMAN PMHNP-BC
701 MED TECH PKWY STE 200
JOHNSON CITY, TN 37604-2371
Phone number: 423-302-3480
Mailing Address
JACK IRVIN KILLMAN PMHNP-BC
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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