Provider Demographics
NPI:1386091700
Name:SALCEDO, JEAN M (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:JEAN
Middle Name:M
Last Name:SALCEDO
Suffix:
Gender:F
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 CALDWELL DR STE 500
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3410
Mailing Address - Country:US
Mailing Address - Phone:615-239-1404
Mailing Address - Fax:615-859-9906
Practice Address - Street 1:327 CALDWELL DR STE 500
Practice Address - Street 2:
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3410
Practice Address - Country:US
Practice Address - Phone:615-239-1404
Practice Address - Fax:615-859-9906
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-16
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN610772084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry