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NPI Code Detail

MEDICARE: JACOB HANDY APRN

MEDICARE:   JACOB  HANDY  APRN
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
1163WC0200XCritical Care Medicine Registered Nurse278216TN
2363LA2100XAcute Care Nurse Practitioner37078TN
3363LC0200XCritical Care Medicine Nurse Practitioner5022945NC
4363L00000XNurse Practitioner5022945NC
5363LA2100XAcute Care Nurse Practitioner5022945NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
137078OTHERTNAPRN

General Provider Information

NPI Number : 1881430270
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACOB HANDY APRN
Provider Business Mailing Address
First Line : 115 MIDDLETON ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37210-2233
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4220 HARDING PIKE
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-2005
Country : US
Telephone Number : 615-222-2111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2024
Last Update Date : 01/26/2026

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