Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Nathaniel Butler, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1609662535

Jacob Nathaniel Butler, MD is a Student in an Organized Health Care Education/Training Program in Johnson City, Tennessee. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Professional Park Dr Ste 21
Johnson City, TN 37604-6584
Phone: (423) 379-8082
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1609662535
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2025
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

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