Healthcare Provider Details

I. General information

NPI: 1265683783
Provider Name (Legal Business Name): CINDY VNENCAK-JONES PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2008
Last Update Date: 10/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4918C TVC VANDERBILT UNIVERSITY MEDICAL CENTER
NASHVILLE TN
37232-5310
US

IV. Provider business mailing address

4918C TVC VANDERBILT UNIVERSITY MEDICAL CENTER
NASHVILLE TN
37232-5310
US

V. Phone/Fax

Practice location:
  • Phone: 615-343-9074
  • Fax: 615-343-9563
Mailing address:
  • Phone: 615-343-9074
  • Fax: 615-343-9563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License NumberML0000018367
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: