Healthcare Provider Details

I. General information

NPI: 1538075882
Provider Name (Legal Business Name): JENNIFER J GEORGE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4321 CAROTHERS PKWY
FRANKLIN TN
37067-5909
US

IV. Provider business mailing address

5037 DOVECOTE DR
NASHVILLE TN
37220-1613
US

V. Phone/Fax

Practice location:
  • Phone: 615-435-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number204665
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: