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Individual

JENNIFER D NITSCHKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
82936
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1517657
TN
05
7100100700
KY
Enumeration date
01/11/2010
Last updated
06/13/2016
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