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NPI Code Detail

MEDICARE: JAIME ELAINE PESL NP-C

MEDICARE:   JAIME ELAINE PESL  NP-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
1363L00000XNurse PractitionerAPRN-NP222619GA
2363LG0600XGerontology Nurse PractitionerNP222619GA

General Provider Information

NPI Number : 1386136539
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME ELAINE PESL NP-C
Provider Business Mailing Address
First Line : 2004 HAYES ST STE 800
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2659
Country : US
Telephone Number : 615-329-0570
Fax Number : 615-329-0579
Provider Business Practice Location Address
First Line : 4645 BATTLEFIELD PKWY
Second Line :
City : RINGGOLD
State : GA
Zip : 30736-8011
Country : US
Telephone Number : 423-648-2362
Fax Number : 423-648-9294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2018
Last Update Date : 12/17/2025

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Directions to “ JAIME ELAINE PESL NP-C” Practice Location

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