Brockton Jolly Sansing
Geriatric Medicine
4220 Harding Pike Suite 500
Nashville
, Tennessee 37205-2005
Brockton Jolly Sansing
Geriatric Medicine
4220 Harding Pike Suite 500
Nashville
, Tennessee 37205-2005
(615) 222-5322
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Brockton Jolly Sansing
- 501 Great Circle Rd Suite 200
- Nashville, TN
- Zip : 37228-1317
- Fax : (615) 222-5322
- Phone : (615) 222-6977
Second Address
- Brockton Jolly Sansing
- 4220 Harding Pike Suite 500
- Nashville, TN
- Zip : 37205-2005
- Phone : (615) 222-6977
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RG0300X | Geriatric Medicine | A97656 | CO |
National Provider Identifier
| NPI | 1144413956 |
|---|---|
| Provider Name | Brockton Jolly Sansing |
| First Address | Nashville, TN 37228-1317 |
| Second Address | Nashville, TN 37205-2005 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2007 |
| Last Update Date | 15/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1530522 | (05) | TN |
| 4340915 | BLUECROSS BLUESHIELD (01) | TN |
| 7100228510 | (05) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.