# VANDERBILT UNIVERSITY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427394634
- **Authorized official:** MS. KATHERINE JACKOWSKI (ACUTE CARE NURSE PRACTITIONER)
- **Authorized official phone:** (615) 496-6860

## Contact information

- **Practice address:** 1161 21ST AVE S, AA204 MCN, NASHVILLE, TN 37232-2102
- **Practice address phone:** (615) 496-6860
- **Mailing address:** 6228 HILLSBORO PIKE, NASHVILLE, TN 37215-5502
- **Mailing address phone:** (615) 496-6860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | 17202 | TN | Yes |

## Other

- **Enumeration date:** 12/14/2012
- **Last updated:** 12/14/2012