Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | MD25539 | TN |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD25539 | TN |
NPI | 1053303214 |
---|---|
Provider Name | Dr. Jane Merideth Siegel |
First Address | Nashville, TN 37204-3708 |
Second Address | Nashville, TN 37203-1821 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2005 |
Last Update Date | 05/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F55023 | (02) | TN |