Cunningham, Jason L

Cunningham, Jason L is an individual health care provider with primary practice located at 1222 Trotwood Ave Suite 101, Columbia TN 38401-6436. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Cunningham, Jason L can be contacted via phone (931) 490-7348.

Contact Information

Primary practice address
1222 Trotwood Ave Suite 101 Columbia TN 38401-6436
Phone: (931) 490-7348
Fax: (931) 490-7349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 20553 Tennessee

Profile Details

NPI number 1285004085
LBN Legal business name Cunningham, Jason L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2015
Last updated Oct 6th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285004085 NPPES
Tennessee MEDICAID 3710089

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