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NPI Code Detail

MEDICARE: CAROLINE PORTIS JENKINS MSN, FNP-BC

MEDICARE: CAROLINE PORTIS JENKINS MSN, FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPN8315TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053429118
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE PORTIS JENKINS MSN, FNP-BC
Provider Business Mailing Address
First Line : 601 BENTON AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2303
Country : US
Telephone Number : 615-292-9770
Fax Number : 615-385-1842
Provider Business Practice Location Address
First Line : 601 BENTON AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-2303
Country : US
Telephone Number : 615-292-9770
Fax Number : 615-385-1842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 11/06/2024

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