Provider Demographics
NPI:1326068487
Name:WARREN, JENNIFER LEIGH (MSN, FNP, RN)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LEIGH
Last Name:WARREN
Suffix:
Gender:F
Credentials:MSN, FNP, RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2372 LEBANON PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-2411
Mailing Address - Country:US
Mailing Address - Phone:629-206-0541
Mailing Address - Fax:629-206-0540
Practice Address - Street 1:2372 LEBANON PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2411
Practice Address - Country:US
Practice Address - Phone:629-206-0541
Practice Address - Fax:629-206-0540
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209-005688363LF0000X
TN20737363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily