Individual provider · Type 1 NPI

Jennifer Ann Petty, NP

Adult Health Nurse Practitioner · Lebanon, TN

NPI number 1932276466 Active

Practice location

1123 North Castleheights Avenue, Suite H
Lebanon, TN 37087-1510

Call (615) 443-2273 Map

Fax (615) 449-3111

Mailing address

1123 N Castle Heights Ave, Suite H
Lebanon, TN 37087-5724

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAPN0000011466 (TN)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1932276466

Jennifer Ann Petty, NP's National Provider Identifier is 1932276466, issued on Nov 29, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lebanon, TN. The record was last updated on Oct 7, 2008.