Individual provider · Type 1 NPI
Jorge Enrique Celedonio Colquicocha, AGACNP-BC
Gerontology Nurse Practitioner · Nashville, TN
NPI number
1386316628
Active
Practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-0011
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other practice locations
- 1161 21st Ave S, Nashville, TN 37232-0011 · (615) 343-8701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 0000248465 (TN) |
| Acute Care Nurse Practitioner | 363LA2100X | 30563 (TN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 30563 (TN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1386316628
Jorge Enrique Celedonio Colquicocha, AGACNP-BC's National Provider Identifier is 1386316628, issued on Oct 5, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Nashville, TN. The record was last updated on Mar 26, 2022.