Individual
JASON H LEVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
315 OAK ST, LIVINGSTON, TN 38570-1728
(931) 823-5611
Mailing address
PO BOX 440246, NASHVILLE, TN 37244-0246
(615) 620-2320
(615) 620-2323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN100414
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN9942
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3629425
—
TN
01
—
4111072
BC/BS OF TN
TN
05
—
74003542
—
KY
Enumeration date
10/24/2006
Last updated
07/14/2010
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