Individual
JESSICA M OLDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
24400
TN
367500000X
Certified Registered Nurse Anesthetist
C-CRNA.0000361
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213362101
—
TX
01
—
213362102
CSHCN
TX
Enumeration date
03/16/2010
Last updated
03/26/2022
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