Individual
JASON BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1450 14TH AVE S, NASHVILLE, TN 37212-3005
(615) 463-6600
Mailing address
3501 MOUNT VIEW RIDGE DR, ANTIOCH, TN 37013-1458
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
TN
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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