MEDICARE: JENNIFER ANN HELM 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
1	363LF0000X	Family Nurse Practitioner	40617	TN
2	363LF0000X	Family Nurse Practitioner	AP125375	TX

General Provider Information

NPI Number	:	1447564976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ANN HELM FNP-C

Provider Business Mailing Address
First Line	:	580 MANCHESTER INDUSTRIAL PKWY
Second Line	:
City	:	MANCHESTER
State	:	TN
Zip	:	37355
Country	:	US
Telephone Number	:	931-538-3404
Fax Number	:	931-233-9988

Provider Business Practice Location Address
First Line	:	580 MANCHESTER INDUSTRIAL PKWY
Second Line	:
City	:	MANCHESTER
State	:	TN
Zip	:	37355
Country	:	US
Telephone Number	:	931-538-3404
Fax Number	:	931-233-9988

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

Provider Enumeration Date	:	07/26/2010
Last Update Date	:	04/10/2026

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