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General NPI Number Information
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NPI Number | 1376389429
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Entity Type | Individual
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Provider Name | JEREMY AIDAN THOMAS MSN, ENP-C, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 07/08/2024
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 3601 THE VANDERBILT CLINIC
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City | NASHVILLE
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State | TN
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Zip | 37232-2617
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Country | US
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Telephone | 615-322-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3841 GREEN HILLS VILLAGE DR STE 200
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City | NASHVILLE
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State | TN
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Zip | 37215-2691
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Country | US
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Telephone | 615-322-6842
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN294917
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 37509
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License Number State | TN
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