Individual
JASEN K ISSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2001 GLEN ECHO RD, NASHVILLE, TN 37215-2807
(615) 292-0012
(615) 279-9997
Mailing address
2001 GLEN ECHO RD, NASHVILLE, TN 37215-2807
(615) 292-0012
(615) 279-9997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3006
TN
363A00000X
Physician Assistant
50003536
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0072950
—
OH
Enumeration date
06/26/2012
Last updated
08/03/2016
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