Provider Demographics
NPI:1912312976
Name:HALE, JESSICA D (NP)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:D
Last Name:HALE
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-3350
Mailing Address - Country:US
Mailing Address - Phone:615-709-2636
Mailing Address - Fax:
Practice Address - Street 1:3310 W END AVE
Practice Address - Street 2:SUITE 590
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1028
Practice Address - Country:US
Practice Address - Phone:615-454-9850
Practice Address - Fax:888-972-4927
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN185762163W00000X
TN18834363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse