Hazard, Jamie Nekole

Hazard, Jamie Nekole is an individual health care provider with primary practice located at 1750 Cedar Ln Suite 200, Tullahoma TN 37388-4759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hazard, Jamie Nekole can be contacted via phone (931) 393-3143.

Contact Information

Primary practice address
1750 Cedar Ln Suite 200 Tullahoma TN 37388-4759
Phone: (931) 393-3143
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000016208 Tennessee

Profile Details

NPI number 1790052165
LBN Legal business name Hazard, Jamie Nekole
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2011
Last updated Feb 7th, 2018 - about 6 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 1790052165 NPPES
Tennessee MEDICAID 1528097

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