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NPI Code Detail

MEDICARE: MS. JENNIFER YODER RN

MEDICARE: MS. JENNIFER YODER RN
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
1163W00000XRegistered Nurse150994TN

General Provider Information

NPI Number : 1538610910
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER YODER RN
Provider Business Mailing Address
First Line : 2500 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4129
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1707 BOSCOBEL ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-2013
Country : US
Telephone Number : 615-574-0607
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2016
Last Update Date : 10/20/2016

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