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NPI Code Detail

MEDICARE: JAMIE NICOLE LENOX RN

MEDICARE: JAMIE NICOLE LENOX RN
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
1163W00000XRegistered NurseRN0000159525TN

General Provider Information

NPI Number : 1942495643
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE NICOLE LENOX RN
Provider Business Mailing Address
First Line : 2122 CIRCLE DR
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4430
Country : US
Telephone Number : 931-490-1480
Fax Number :
Provider Business Practice Location Address
First Line : 2122 CIRCLE DR
Second Line :
City : COLUMBIA
State : TN
Zip : 38401-4430
Country : US
Telephone Number : 931-490-1480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2007
Last Update Date : 09/06/2007

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