Provider Demographics
NPI:1124002886
Name:VERNER, JENELLE B
Entity type:Individual
Prefix:
First Name:JENELLE
Middle Name:B
Last Name:VERNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2132
Mailing Address - Country:US
Mailing Address - Phone:615-284-1500
Mailing Address - Fax:615-284-1501
Practice Address - Street 1:300 20TH AVE N
Practice Address - Street 2:SUITE 102
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-284-1500
Practice Address - Fax:615-284-1501
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN10630363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health