Lisa M Jack in Murfreesboro - Nurse Practitioner
Lisa M Jack - NPI 1740210152
Lisa M Jack is a Nurse Practitioner in Murfreesboro, Tennessee. Lisa M Jack practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Lisa M Jack is 1740210152. The last update date is 2020-04-30.
Lisa M Jack's current location address is 2076 Lascassas Pike Ste B, Murfreesboro, Tennessee. You can contact this provider via phone number 6155350124 and fax number 6156534218. The mailing address for Lisa M Jack is 2076 Lascassas Pike Ste B, Murfreesboro, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Jack |
|---|---|
| Address | 2076 Lascassas Pike Ste B, Murfreesboro, Tennessee |
| Phone Number | 6155350124 |
| Fax Number | 6156534218 |
| Sole Proprietor | N |
| Credentials | APRN BC |
NPI Number Detail
| NPI Number | 1740210152 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2020-04-30 |
Provider Mailing Address Detail
| Address | 2076 Lascassas Pike Ste B |
|---|---|
| City | Murfreesboro |
| State | Tennessee (TN) |
| Post Code | 371302085 |
| Phone Number | 6155350124 |
| Fax Number | 6156534218 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | APN000000839 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Post Comment/ Review Below
What is the unique identification code assigned to Lisa M Jack by the Centers for Medicare & Medicaid Services?
The Lisa M Jack has been issued the NPI (National Provider Identifier) 1740210152. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Lisa M Jack's facilities are situated?
The facilities of Lisa M Jack are physically located at the following address: 2076 Lascassas Pike Ste B, Murfreesboro, TN, 371302085.
What is Lisa M Jack's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lisa M Jack is Nurse Practitioner, and the taxonomy classification code that categorizes this area of expertise is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740210152 to Lisa M Jack?
The Centers for Medicare & Medicaid Services assigned the 1740210152 to Lisa M Jack on 2006-07-03.
As of what date was the information pertaining to Lisa M Jack, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lisa M Jack, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-04-30.
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