Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD14361 | TN |
NPI | 1164497996 |
---|---|
Provider Name | Dr. Jennifer Lynne Oakley |
First Address | Nashville, TN 37203-1835 |
Second Address | Nashville, TN 37203-1835 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2002335 | BLUE CROSS BLUE SHIELD (01) | TN |
621301161 001 | CIGNA (01) | TN |
A97145 | (02) | TN |