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NPI Code Detail

MEDICARE: KATIE JANE TAYS

MEDICARE:   KATIE JANE TAYS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1477412104
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE JANE TAYS
Provider Business Mailing Address
First Line : 616 MARRIOTT DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-5048
Country : US
Telephone Number : 629-802-3000
Fax Number :
Provider Business Practice Location Address
First Line : 616 MARRIOTT DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37214-5048
Country : US
Telephone Number : 629-802-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/20/2026

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Directions to “ KATIE JANE TAYS ” Practice Location

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