Individual
JAIME KAYE OTILLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-0001
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
MD49798
TN
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD49798
TN
208000000X
Pediatrics Physician
MD49798
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD49798
TN
Other
Enumeration date
06/05/2008
Last updated
03/29/2022
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