Individual
JENNA D BLETZACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-2269
(629) 255-4249
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
19385
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19385
APN LICENSE
TN
Enumeration date
11/19/2014
Last updated
06/13/2022
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