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NPI Code Detail

MEDICARE: JAIME LYNN FILTZKOWSKI APNP

MEDICARE: JAIME LYNN FILTZKOWSKI APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner95028658CA
2363LA2200XAdult Health Nurse Practitioner5001-33WI
3363LA2200XAdult Health Nurse Practitioner31800TN

General Provider Information

NPI Number : 1356690549
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME LYNN FILTZKOWSKI APNP
Provider Business Mailing Address
First Line : 65 GERMANTOWN CT STE 300
Second Line :
City : CORDOVA
State : TN
Zip : 38018-4258
Country : US
Telephone Number : 901-737-4665
Fax Number : 901-328-1355
Provider Business Practice Location Address
First Line : 740 COOL SPRINGS BLVD STE 140
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-6449
Country : US
Telephone Number : 615-781-8786
Fax Number : 615-771-2801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2012
Last Update Date : 02/01/2024

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