Individual
LAUREN JACKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 HOSPITAL DR, MADISON, TN 37115-5030
(615) 732-7670
Mailing address
101 SPADE LEAF BLVD APT 1213, HENDERSONVILLE, TN 37075-4476
(502) 468-8996
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1158598
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
28286326A
IN
Other
Enumeration date
09/02/2021
Last updated
03/20/2024
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