Provider Demographics
NPI:1427888072
Name:VILLIER, JESSICA HALSEY (FNP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:HALSEY
Last Name:VILLIER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2927 WATAUGA RD UNIT 10
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-3890
Mailing Address - Country:US
Mailing Address - Phone:423-330-0162
Mailing Address - Fax:423-717-5562
Practice Address - Street 1:114 W JACKSON BLVD
Practice Address - Street 2:
Practice Address - City:JONESBOROUGH
Practice Address - State:TN
Practice Address - Zip Code:37659-1224
Practice Address - Country:US
Practice Address - Phone:423-753-1713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36716363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily