MEDICARE: MRS. JEANANN MARIE NEUMEYER ATC

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
1	2255A2300X	Athletic Trainer	0950	TN

General Provider Information

NPI Number	:	1134183106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JEANANN MARIE NEUMEYER ATC

Provider Business Mailing Address
First Line	:	417 NEWTON CT
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-1880
Country	:	US
Telephone Number	:	615-418-1018
Fax Number	:

Provider Business Practice Location Address
First Line	:	1215 21ST AVE S
Second Line	:	MCE, SOUTH TOWER, SUITE 3200
City	:	NASHVILLE
State	:	TN
Zip	:	37232-0014
Country	:	US
Telephone Number	:	615-322-7878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	07/08/2007

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