MEDICARE: MRS. EMILY MOYERS JIRAN RN

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	163WS0200X	School Registered Nurse	0000033350	TN

General Provider Information

NPI Number	:	1225221260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EMILY MOYERS JIRAN RN

Provider Business Mailing Address
First Line	:	1706 26TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-3307
Country	:	US
Telephone Number	:	615-298-8470
Fax Number	:

Provider Business Practice Location Address
First Line	:	1706 26TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37212-3307
Country	:	US
Telephone Number	:	615-298-8470
Fax Number	:

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

Provider Enumeration Date	:	08/23/2007
Last Update Date	:	08/23/2007

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