MEDICARE: KELLI JO OERMAN

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	101YP2500X	Professional Counselor	7792	TN

General Provider Information

NPI Number	:	1255266953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLI JO OERMAN

Provider Business Mailing Address
First Line	:	567 STEWARTS FERRY PIKE
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3414
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	567 STEWARTS FERRY PIKE # 1012
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37214-3414
Country	:	US
Telephone Number	:	615-707-0876
Fax Number	:

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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