JENNA BLETZACKER (NPI# 1801293808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801293808 |
| Entity Type | Individual |
| Full Name | JENNA BLETZACKER |
| Other Name | JENNA DILLON |
| Credential | WHNP-BC |
| Practice Address |
329 21st Ave N Suite 4 Nashville TN 37203-1839 |
| Mailing Address |
329 21st Ave N Ste 1 Nashville TN 37203-1857 |
| Practice Telephone | 6153299333 |
| Mailing Telephone | 6153299333 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2020-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
19385 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1272 Garrison Dr, Murfreesboro, TN 371292598 | 6158934480 | |
| 139 Haverford Dr, Nashville, TN 372053613 | 6149460508 |
| Street Address |
329 21ST AVE N SUITE 4 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37203-1839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485817 | Sam Houston Moran | Obstetrics & Gynecology | 329 21st Ave N, Ste 4, Nashville, TN 37203-1838 | 2005-05-23 |
| 1417252594 | Mid-state Urology PC | Urology | 329 21st Ave N, Suite 2, Nashville, TN 37203-1839 | 2011-01-20 |
| 1225049802 | Green Hills Health & Wellness Inc | Pharmacy | 329 21st Ave N, Ste 3, Nashville, TN 37203-1839 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031843 | Results-ast Jv, LLC | Physical Therapist | 1000 Church Street, Nashville, TN 37203 | 2020-10-23 |
| 1922607159 | Results-ast Jv, LLC | Physical Therapist | 222 22nd Avenue North, Suite 100, Nashville, TN 37203 | 2020-10-19 |
| 1427663152 | Amber Nicole Fox | Nurse Practitioner | 2300 Patterson Street-endo Dept, Nashville, TN 37203 | 2020-09-10 |
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1013536655 | Colby Wollenman | Student in an Organized Health Care Education/Training Program | Vanderbilt Orthopaedic Institute 1215 21st Ave S, Medical Center East, South Tower, Suite 4200, Nashville, TN 37203 | 2020-04-14 |
| 1477193738 | Ames Center for Counseling LLC | Social Worker | 1900 Church Street #300, Nashville, TN 37203 | 2020-01-14 |
| 1750922498 | Lisa Michelle Gregory Beck | Nurse Practitioner | 2221 Murphy Avenue, Nashville, TN 37203 | 2019-10-03 |
| 1235634023 | Jackson Primary Care | Family Medicine | 2010 Church St Ste 526, Nashville, TN 37203 | 2018-03-26 |
| 1932614237 | Caitlin Butcher | Social Worker | 402 22nd Ave North, Nashville, TN 37203 | 2017-12-08 |
| 1780194068 | Casey Lynn O'quinn | Behavioral Analyst | 2108 Hayes St, Nashville, TN 37203 | 2017-10-02 |
| Find all providers in zip 37203 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839648 | Tasha Yarris | Nurse Practitioner | 412 Dr D.b. Todd Jr Blvd., Nashville, TN 37203 | 2020-07-30 |
| 1073143756 | Tailar Murphy | Nurse Practitioner | 2004 Hayes St Ste 310, Nashville, TN 37203-2653 | 2020-01-22 |
| 1760852198 | Mitna Ngo | Nurse Practitioner | 2201 Murphy Ave Ste 308, Nashville, TN 37203-1960 | 2015-09-28 |
| 1720455629 | Catherine Jaynes Mukherji | Nurse Practitioner | 6 Castlewood Ct, Nashville, TN 37215-4617 | 2015-08-26 |
| 1093081317 | Shaunna Parker | Nurse Practitioner | 1810 Hayes St, Nashville, TN 37203-2504 | 2012-03-30 |
| 1083981815 | Jordan Vaughan | Nurse Practitioner | 330 23rd Ave N Ste 250, Nashville, TN 37203 | 2011-11-22 |
| 1457660565 | Elizabeth D Hall | Nurse Practitioner | 2410 Franklin Rd, Nashville, TN 37204-2227 | 2010-10-07 |
| 1780996546 | Lindsey Marie Blalock | Nurse Practitioner | 3005 Ambrose Ave, Nashville, TN 37207 | 2010-07-09 |
| 1649508698 | Virginia Anna Sue Moore | Nurse Practitioner | 412 Dr. D.b. Todd, Jr. Blvd, Planned Parenthood of Middle Tennessee, Nashville, TN 37203 | 2009-12-03 |
| 1538305669 | Katharine Janke Huddleston Douillard | Nurse Practitioner | 329 21st Ave N Ste 4, Nashville, TN 37203-1838 | 2008-12-18 |
| Find all providers in NASHVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.