Healthcare Provider Details

I. General information

NPI: 1891217311
Provider Name (Legal Business Name): JO ANNE CUPIT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 07/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1324 W MAIN ST
FRANKLIN TN
37064-3784
US

IV. Provider business mailing address

1324 W MAIN ST
FRANKLIN TN
37064-3784
US

V. Phone/Fax

Practice location:
  • Phone: 615-794-1542
  • Fax:
Mailing address:
  • Phone: 615-794-1542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN0000103373
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: