MRS. MELINDA JANE JETTER


Address: 320 North Willow Avenue, Cookeville, TN 38501
Phone: 9315207763

MRS. MELINDA JANE JETTER (NPI# 1376167080) 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) 1376167080
Entity Type Individual
Full Name MRS. MELINDA JANE JETTER
Other Name MISS MELINDA JANE BENNETT
Credential R.N.
Practice Address 320 North Willow Avenue
Cookeville
TN 38501
Mailing Address 351 Norton Road
Sparta
TN 38583
Practice Telephone 9315207763
Practice Fax Number 9316464866
Mailing Telephone 9312659646
Enumeration Date 2020-05-29
Last Update Date 2020-05-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0500X Registered Nurse
Specialization: Hemodialysis
RN0000177130 TN Nursing Service Providers

Office Location

Street Address 320 NORTH WILLOW AVENUE
City COOKEVILLE
State TN
Zip Code 38501

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1669990339 Tonya Rachelle Perry Counselor 13 South Jefferson Ave, Cookeville, TN 38501 2017-09-01
1659896207 Dustin Chase Rich Physical Therapist 105 S. Willow Ave, #100, Cookeville, TN 38501 2017-08-04
1487009668 Holly Young Physical Therapist 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 2016-04-26
1194190306 Johnna Sprague Nurse Practitioner 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 2015-12-14
1881099885 Carlos Alberto Podesta Internal Medicine 238 W 4th St Ste 200, Cookeville, TN 38501 2014-11-03
1124445002 Shashank Sarvepalli Internal Medicine 1 Medical Center Blvd Ste D, Cookeville, TN 38501 2014-03-27
1689095762 Kendra Hicks Licensed Practical Nurse 701 County Services Drive, Cookeville, TN 38501 2013-12-17
1962740217 Christie Hummel Nurse Practitioner 112 N. Walnut Ave, Cookeville, TN 38501 2013-01-22
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Taxonomy Information

Taxonomy Code 163WH0500X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Hemodialysis

Taxonomy Definition

Definition to come...

Competitor

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City COOKEVILLE
Zip Code 38501

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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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