Healthcare Provider Details

I. General information

NPI: 1093958563
Provider Name (Legal Business Name): JENNIFER A FLYNT MSN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 S 8TH ST
NASHVILLE TN
37206-3819
US

IV. Provider business mailing address

556 HARTSVILLE PIKE STE 200
GALLATIN TN
37066-2493
US

V. Phone/Fax

Practice location:
  • Phone: 615-227-3000
  • Fax:
Mailing address:
  • Phone: 615-227-3000
  • Fax: 615-451-0121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN163731
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14121
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: