MRS. JACKLYN MUNN


Address: 2603 Bransford Ave, Nashville, TN 37204-2811
Phone: 6152598755

MRS. JACKLYN MUNN (NPI# 1275083404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275083404
Entity Type Individual
Full Name MRS. JACKLYN MUNN
Credential FNP-C
Practice Address 2603 Bransford Ave
Nashville
TN 37204-2811
Practice Telephone 6152598755
Enumeration Date 2016-10-12
Last Update Date 2016-10-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 210217 TN Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
21932 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2603 BRANSFORD AVE
City NASHVILLE
State TN
Zip Code 37204-2811

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NPI Name Taxonomy Address Enumeration
1275922254 Van Thai Lam Nurse Practitioner 2603 Bransford Ave, Nashville, TN 37204-2811 2015-01-14

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1285248898 Stephanie Logan Nurse Practitioner 4720 Brighton Village Dr Unit A8, Nashville, TN 37211-6672 2020-09-01
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Competitor

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City NASHVILLE
Zip Code 37204

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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