Doctor Name: | MRS. SUSAN WATTS JEANSONNE |
NPI Number: | 1114913365 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 40530 |
Business Practice Address: | 2002 Brookside Dr Suite 200 Kingsport, TN - 376604634 |
Business Phone Number: | 4232243933 |
Business Fax Number: | 4232243934 |
Mailing Address: | Po Box 3700, JOHNSON CITY |
State: | TN |
Postal Code: | 376023700 |
Phone Number: | 4239522122 |
Fax Number: | 4239522145 |
NPI Enumeration Date: | 09/23/2005 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207P00000X |
License Number: | 40530 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |