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NPI Code Detail

MEDICARE: RACHEL JONES DEFFENDALL FNP-BC

MEDICARE: RACHEL JONES DEFFENDALL FNP-BC
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
1363LF0000XFamily Nurse Practitioner19189TN

General Provider Information

NPI Number : 1962807263
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL JONES DEFFENDALL FNP-BC
Provider Business Mailing Address
First Line : 410 42ND AVE N STE 400
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-3658
Country : US
Telephone Number : 615-329-7887
Fax Number :
Provider Business Practice Location Address
First Line : 660 S MOUNT JULIET RD STE 211
Second Line :
City : MOUNT JULIET
State : TN
Zip : 37122-3973
Country : US
Telephone Number : 615-932-8346
Fax Number : 615-269-3448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2014
Last Update Date : 08/18/2023

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Directions to “ RACHEL JONES DEFFENDALL FNP-BC” Practice Location

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