Jackson, Gretchen Purcell

Jackson, Gretchen Purcell is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-5100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Jackson, Gretchen Purcell can be contacted via phone (615) 322-3000.

Contact Information

Primary practice address
3601 The Vanderbilt Clinic Nashville TN 37232-5100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD41269 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD41269 Tennessee

Profile Details

NPI number 1790712693
LBN Legal business name Jackson, Gretchen Purcell
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 18th, 2022 - about 3 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 1790712693 NPPES
Other 620476822 TAX ID

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