MEDICARE: JENNA HARTMANN NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	41179	TN

General Provider Information

NPI Number	:	1679425557
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA HARTMANN NP

Provider Business Mailing Address
First Line	:	3855 OCOEE ST N FL 4
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-4457
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3855 OCOEE ST N FL 4
Second Line	:
City	:	CLEVELAND
State	:	TN
Zip	:	37312-4457
Country	:	US
Telephone Number	:	423-464-4357
Fax Number	:

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

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	06/02/2026

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