Individual provider · Type 1 NPI
Jean C. Self
Pediatric Nurse Practitioner · Nashville, TN
NPI number
1053764035
Active
Practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-1146
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other practice locations
- 3400 Lafayette Rd, Suite 200, Indianapolis, IN 46222-1146 · (317) 291-7422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 71006382A (IN) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 28659 (TN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1053764035
Jean C. Self's National Provider Identifier is 1053764035, issued on Jul 14, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Nashville, TN. The record was last updated on Dec 12, 2022.