MEDICARE: JESSICA NAGUIB APRN, FNP-C

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
1	363L00000X	Nurse Practitioner	33719	TN

General Provider Information

NPI Number	:	1730882952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA NAGUIB APRN, FNP-C

Provider Business Mailing Address
First Line	:	2126 ABBOTT MARTIN RD STE 192
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2619
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2126 ABBOTT MARTIN RD STE 192
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2619
Country	:	US
Telephone Number	:	615-747-1035
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	03/27/2023

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