Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 43930 | TN |
NPI | 1003071333 |
---|---|
Provider Name | Jayashree Rani Nathan |
First Address | Nashville, TN 37208 |
Second Address | Nashville, TN 37208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2008 |
Last Update Date | 25/07/2008 |