Healthcare Provider Details

I. General information

NPI: 1235247339
Provider Name (Legal Business Name): JENNIFER LYNN ANDERSON APRN-BC, ACUTE CARE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 LEBANON RD
MURFREESBORO TN
37129-1392
US

IV. Provider business mailing address

624 SAPPHIRE DR
MURFREESBORO TN
37128-0647
US

V. Phone/Fax

Practice location:
  • Phone: 615-867-6000
  • Fax: 615-867-5580
Mailing address:
  • Phone: 615-364-4330
  • Fax: 615-867-5580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN0000135742
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPN0000008325
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: