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NPI Code Detail

MEDICARE: JENNIFER MARIE DEPIETRO

MEDICARE: JENNIFER MARIE DEPIETRO
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1598594996
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER MARIE DEPIETRO
Provider Business Mailing Address
First Line : 111 17TH AVE S APT 1204
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2789
Country : US
Telephone Number : 908-399-3450
Fax Number :
Provider Business Practice Location Address
First Line : 5300 CENTENNIAL BLVD STE 210
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-1696
Country : US
Telephone Number : 615-882-4196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2024
Last Update Date : 08/01/2024

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Directions to “ JENNIFER MARIE DEPIETRO ” Practice Location

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