Individual
MRS. JANICE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
585 INTERSTATE DR., STE B, MANCHESTER, TN 37355
(931) 728-9000
(931) 728-2726
Mailing address
585 INTERSTATE DR., STE B, MANCHESTER, TN 37355
(931) 728-9000
(931) 728-2726
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN118603
TN
363LP2300X
Primary Care Nurse Practitioner
Primary
7750
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4323444
BLUE CROSS PROVIDER
TN
Enumeration date
06/02/2006
Last updated
04/28/2022
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