Individual
DR. JASON MICHAEL HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2345 MURFREESBORO HWY, MANCHESTER, TN 37355-3206
(931) 728-5607
Mailing address
2345 MURFREESBORO HWY, MANCHESTER, TN 37355-3206
(931) 728-5607
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
LL34897
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
PMC0000000910
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3301090
—
TN
Enumeration date
06/19/2012
Last updated
08/11/2022
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