MEDICARE: JANET REBAR RN, MSN

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	163WH0200X	Home Health Registered Nurse	183696	TN

General Provider Information

NPI Number	:	1679116867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET REBAR RN, MSN

Provider Business Mailing Address
First Line	:	3357 TYREE SPRINGS RD
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-8461
Country	:	US
Telephone Number	:	615-431-0885
Fax Number	:

Provider Business Practice Location Address
First Line	:	3357 TYREE SPRINGS RD
Second Line	:
City	:	HENDERSONVILLE
State	:	TN
Zip	:	37075-8461
Country	:	US
Telephone Number	:	615-431-0885
Fax Number	:

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

Provider Enumeration Date	:	10/21/2019
Last Update Date	:	10/21/2019

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