Individual
JOCELYN MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
616 MARRIOTT DR, NASHVILLE, TN 37214-5048
(629) 802-3000
Mailing address
2815B HODY DR, NASHVILLE, TN 37206-1531
(978) 424-3465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363A00000X
Physician Assistant
Primary
4894
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
06/14/2016
Last updated
03/24/2022
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