Organization
JAN ZWARTS VALLEY, LLC
Active
Other names
JZV Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY WHITE PHD (ADMINISTRATOR)
(615) 866-6163
Entity
Organization
Contact information
Practice address
100 BETA DR UNIT A, FRANKLIN, TN 37064-3912
(615) 866-6163
(615) 794-0081
Mailing address
1125 CEDARVIEW LN, FRANKLIN, TN 37067-4075
(615) 975-2050
(615) 465-6518
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC000001496
TN
207Q00000X
Family Medicine Physician
—
—
251B00000X
Case Management Agency
L0000015386
TN
251S00000X
Community/Behavioral Health Agency
LPC000001496
TN
253Z00000X
In Home Supportive Care Agency
L0000015386
TN
261QA0600X
Adult Day Care Clinic/Center
ADULT0047-000
TN
261QM1300X
Multi-Specialty Clinic/Center
Primary
MD0000042744
TN
261QP2300X
Primary Care Clinic/Center
MD0000042744
TN
363L00000X
Nurse Practitioner
APN0000011911
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000000007398
TENNESSEE DEPARTMENT OF MENTAL HEALTH AND DEVELOPMENTAL DISABILITIES
TN
05
—
445273
—
TN
05
—
H445273
—
TN
01
—
I000000024968
PSSA LICENSE
TN
01
—
L000000015386
PERSONAL SUPPORT SERVICES AGENCY LICENSE
TN
Enumeration date
09/26/2008
Last updated
09/01/2019
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