MEDICARE: JENNIFER R NORTH

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	106S00000X	Behavior Technician		TN

General Provider Information

NPI Number	:	1386594406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER R NORTH

Provider Business Mailing Address
First Line	:	4921 CAMBORNE CIR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-8645
Country	:	US
Telephone Number	:	845-391-2282
Fax Number	:

Provider Business Practice Location Address
First Line	:	13185 OLD NASHVILLE HWY
Second Line	:
City	:	SMYRNA
State	:	TN
Zip	:	37167-6309
Country	:	US
Telephone Number	:	615-560-6622
Fax Number	:

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

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	01/29/2026

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Directions to “ JENNIFER R NORTH ” Practice Location

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