Organization
JAN ZWARTS VALLEY, LLC
Active
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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