Individual
MRS. IVY LEVERETT JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
110 29TH AVE N, SUITE 301, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-5435
Mailing address
110 29TH AVE N, SUITE 301, NASHVILLE, TN 37203-1401
(615) 327-4304
(615) 327-5434
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0024168102
VA
163W00000X
Registered Nurse
RN118124
TN
367500000X
Certified Registered Nurse Anesthetist
0024168102
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
APN12405
TN
Other
Enumeration date
04/20/2007
Last updated
12/15/2015
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