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NPI Code Detail

MEDICARE: JENNIFER LEE HERRMANN M.D.

MEDICARE: JENNIFER LEE HERRMANN M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207NS0135XProcedural Dermatology PhysicianA130259CA

General Provider Information

NPI Number : 1245521756
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LEE HERRMANN M.D.
Provider Business Mailing Address
First Line : 918 WATERSWOOD DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37220-1117
Country : US
Telephone Number : 646-285-6606
Fax Number :
Provider Business Practice Location Address
First Line : 200 COOL SPRINGS BLVD
Second Line :
City : FRANKLIN
State : TN
Zip : 37067-2677
Country : US
Telephone Number : 615-771-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2011
Last Update Date : 09/03/2024

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