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NPI Code Detail

MEDICARE: MRS. JAMIE LYNN CARDEN-SMITH FNP-C

MEDICARE: MRS. JAMIE LYNN CARDEN-SMITH FNP-C
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
1363LF0000XFamily Nurse Practitioner24662TN

General Provider Information

NPI Number : 1386127264
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JAMIE LYNN CARDEN-SMITH FNP-C
Provider Business Mailing Address
First Line : 2548 RIDEOUT LN
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-7686
Country : US
Telephone Number : 615-410-4990
Fax Number :
Provider Business Practice Location Address
First Line : 2548 RIDEOUT LN
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-7686
Country : US
Telephone Number : 615-410-4990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2018
Last Update Date : 09/07/2018

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