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NPI Code Detail

MEDICARE: JESSICA CARR

MEDICARE: JESSICA CARR
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1538943873
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA CARR
Provider Business Mailing Address
First Line : 2510 MUSIC VALLEY DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-1003
Country : US
Telephone Number : 615-376-0034
Fax Number :
Provider Business Practice Location Address
First Line : 2510 MUSIC VALLEY DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-1003
Country : US
Telephone Number : 615-376-0034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2023
Last Update Date : 06/01/2026

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Directions to “ JESSICA CARR ” Practice Location

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