Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 58313 | TN |
Y | 111NI0900X | Internist | 58313 | TN |
N | 207RG0300X | Geriatric Medicine | 58131 | TN |
NPI | 1144674565 |
---|---|
Provider Name | Dr. Jacob Montgomery Parnell |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-0011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2016 |
Last Update Date | 15/10/2020 |