MEDICARE: JANE SHELBY PIERCE MSN

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	363LA2200X	Adult Health Nurse Practitioner	APN0000006033	TN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00395512	OTHER	TN	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1184785826
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE SHELBY PIERCE MSN

Provider Business Mailing Address
First Line	:	1432 W MAIN ST
Second Line	:	SUITE 700
City	:	LEBANON
State	:	TN
Zip	:	37087-1323
Country	:	US
Telephone Number	:	615-444-1880
Fax Number	:	615-444-7411

Provider Business Practice Location Address
First Line	:	1432 W MAIN ST
Second Line	:	SUITE 700
City	:	LEBANON
State	:	TN
Zip	:	37087-1323
Country	:	US
Telephone Number	:	615-444-1880
Fax Number	:	615-444-7411

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

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	06/12/2015

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