Healthcare Provider Details

I. General information

NPI: 1780183962
Provider Name (Legal Business Name): JESSICA ELIZABETH GARNEA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA ELIZABETH BARNETT MD

II. Dates (important events)

Enumeration Date: 02/02/2018
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 BENZING RD
ANTIOCH TN
37013-4139
US

IV. Provider business mailing address

590 BENZING RD
ANTIOCH TN
37013-4139
US

V. Phone/Fax

Practice location:
  • Phone: 615-988-2430
  • Fax:
Mailing address:
  • Phone: 615-988-2430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number77546
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: