Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 13504 | TN |
NPI | 1043471923 |
---|---|
Provider Name | Jennifer Lynn Klecan |
First Address | Nashville, TN 37204-4701 |
Second Address | Nashville, TN 37232-2005 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2008 |
Last Update Date | 21/10/2020 |