Provider Demographics
NPI:1447264361
Name:WISDOM-SCHEPERS, JENNIFER C (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:C
Last Name:WISDOM-SCHEPERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:C
Other - Last Name:WISDOM-SCHEPERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3114 BROWNS MILL RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-1417
Mailing Address - Country:US
Mailing Address - Phone:423-631-0432
Mailing Address - Fax:423-631-0284
Practice Address - Street 1:3114 BROWNS MILL RD
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-1417
Practice Address - Country:US
Practice Address - Phone:423-631-0432
Practice Address - Fax:423-631-0284
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN393252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry