Individual
JADE POWELL VERGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
166 E MAIN ST, HENDERSONVILLE, TN 37075-2520
(615) 822-3000
(615) 348-0109
Mailing address
347 WOODYCREST AVE, NASHVILLE, TN 37210-4639
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
18347
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
18347
TN
Other
Enumeration date
02/12/2014
Last updated
04/15/2015
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