Jeanne Bach

Individual provider Active NPI Registered Nurse · Knoxville, TN

NPI 1245474154 · NPPES record last updated Apr 22, 2009

Key facts

NPI
1245474154
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
44056 (TN)
Practice address
201 W Springdale Ave
Knoxville, TN 37917-5158
Phone
(865) 329-9173
Fax
(865) 541-6941
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
44056TNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 44056 TN Yes

Addresses

Primary practice location

201 W Springdale Ave
Knoxville, TN 37917-5158

Mailing address

201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 329-9173

Other providers in Knoxville, TN

All providers in Knoxville, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.