TWISTED ROOTS MEDICAL MISSION NPI 1023923018

NPI Information

  • NPI: 1023923018
  • Provider Name: TWISTED ROOTS MEDICAL MISSION
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 2020 NORTHPARK DR STE 2C
    JOHNSON CITY, TN
    ZIP 37604
  • Phone: (423) 276-1298

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NPI Details

TWISTED ROOTS MEDICAL MISSION is a clinic center in Johnson City, TN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). TWISTED ROOTS MEDICAL MISSION NPI is 1023923018. The provider is registered as an organization entity type.

The provider's business location address is:

2020 NORTHPARK DR STE 2C
JOHNSON CITY, TN
ZIP 37604-127
Phone: (423) 276-1298
Fax: (877) 682-3707

The provider's authorized official is Eva M Jessee .
The authorized official title is Founder, Medical Director and has the following contact phone number (423) 276-1298.

The enumeration date for this NPI number is 8/17/2026 and was last updated on 8/17/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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