Kim, Jennifer L

Kim, Jennifer L is an individual health care provider with primary practice located at 370 First Hall 46121St Avenue South, Nashville TN 37240-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kim, Jennifer L can be contacted via phone (615) 936-0736.

Contact Information

Primary practice address
370 First Hall 46121St Avenue South Nashville TN 37240-0001
Fax: (615) 936-0228
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN7512 Tennessee

Profile Details

NPI number 1386842862
LBN Legal business name Kim, Jennifer L
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2007
Last updated May 30th, 2012 - about 12 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 1386842862 NPPES
Tennessee Other APN7512 ADVANCED PRACTICE LICENSE

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