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NPI Code Detail

MEDICARE: ELISA JANE GANZON ARRN

MEDICARE: ELISA JANE GANZON ARRN
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 Nurse264352TN
2363LF0000XFamily Nurse Practitioner40117TN

General Provider Information

NPI Number : 1962219931
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISA JANE GANZON ARRN
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1211 MEDICAL CENTER DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37232-0004
Country : US
Telephone Number : 615-322-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2024
Last Update Date : 03/27/2026

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