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NPI Code Detail

MEDICARE: JEFFREY DINIZIO PA

MEDICARE: JEFFREY DINIZIO PA
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
1363AM0700XMedical Physician Assistant3599TN
2363A00000XPhysician Assistant3599TN
3363AM0700XMedical Physician Assistant018514NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427442680
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY DINIZIO PA
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number :
Fax Number : 615-322-5048
Provider Business Practice Location Address
First Line : 919 MURFREESBORO RD
Second Line :
City : FRANKLIN
State : TN
Zip : 37064-3002
Country : US
Telephone Number : 615-791-7373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2015
Last Update Date : 12/12/2025

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1811007974 — SANDRA R. ERMINI APRN, BC
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Directions to “ JEFFREY DINIZIO PA” Practice Location

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