Healthcare Provider Details

I. General information

NPI: 1346156841
Provider Name (Legal Business Name): JESSE DEAN SCOBEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 PATTERSON ST STE 502
NASHVILLE TN
37203-6511
US

IV. Provider business mailing address

212 CHEOAH CT
ANTIOCH TN
37013-4541
US

V. Phone/Fax

Practice location:
  • Phone: 615-515-1900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: