Individual
JASON PIYAVUNNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2589
(901) 516-5200
Mailing address
3960 NEW COVINGTON PIKE, MEMPHIS, TN 38128-2504
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
29842
TN
Other
Enumeration date
10/04/2021
Last updated
03/29/2022
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