Healthcare Provider Details

I. General information

NPI: 1508783234
Provider Name (Legal Business Name): TRACY STEED JENSEN APN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 21ST AVE S
NASHVILLE TN
37212-4354
US

IV. Provider business mailing address

2020 21ST AVE S
NASHVILLE TN
37212-4354
US

V. Phone/Fax

Practice location:
  • Phone: 615-932-7700
  • Fax:
Mailing address:
  • Phone: 615-932-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number208200000X
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: