Organization
VANDERBILT UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE JACKOWSKI (ACUTE CARE NURSE PRACTITIONER)
(615) 496-6860
Entity
Organization
Contact information
Practice address
1161 21ST AVE S, AA204 MCN, NASHVILLE, TN 37232-2102
(615) 496-6860
Mailing address
6228 HILLSBORO PIKE, NASHVILLE, TN 37215-5502
(615) 496-6860
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
17202
TN
Other
Enumeration date
12/14/2012
Last updated
12/14/2012
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