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SAMUEL WALDEMAR JANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-6842

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
37159
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
37159
TN

Other

Enumeration date
10/30/2024
Last updated
12/12/2024
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