Individual
MR. JACOB ROBERT HAFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
391 WALLACE RD, NASHVILLE, TN 37211-4851
(615) 781-4000
Mailing address
121 BURBERRY GLEN BLVD, NOLENSVILLE, TN 37135-2103
(931) 267-8567
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000174196
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APN19104
TN
Other
Enumeration date
07/14/2014
Last updated
06/08/2020
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