MEDICARE: JONATHAN LEE PUNCOCHAR FACHE

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	246Y00000X	Health Information Specialist/Technologist

General Provider Information

NPI Number	:	1730011503
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN LEE PUNCOCHAR FACHE

Provider Business Mailing Address
First Line	:	216 PEBBLE GLEN DR
Second Line	:	C/O JON PUNCOCHAR
City	:	FRANKLIN
State	:	TN
Zip	:	37064-2911
Country	:	US
Telephone Number	:	615-739-3497
Fax Number	:

Provider Business Practice Location Address
First Line	:	216 PEBBLE GLEN DR
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-2911
Country	:	US
Telephone Number	:	615-739-3497
Fax Number	:

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/05/2026

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