Individual
JILL WEIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 20TH AVE N, NASHVILLE, TN 37203-2131
(615) 284-4646
(615) 284-4675
Mailing address
300 20TH AVE N, NASHVILLE, TN 37203-2131
(615) 284-4646
(615) 284-4675
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000019309
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6032774
BLUE CROSS/BLUE SHIELD
TN
01
—
P01402322
RR MEDICARE
TN
05
—
Q010595
—
TN
Enumeration date
11/04/2014
Last updated
04/22/2015
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