Jason Rieben

Individual provider Active NPI Licensed Practical Nurse · Bell Buckle, TN

NPI 1306274261 · NPPES record last updated Oct 30, 2013

Key facts

NPI
1306274261
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
LPN0000073184 (TN)
Practice address
101 Mountian View
Bell Buckle, TN 37020
Phone
(615) 962-4238
NPI assigned
Oct 30, 2013
Sex
Male
Sole proprietor
Yes

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
LPN0000073184TNMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN0000073184 TN Yes

Addresses

Primary practice location

101 Mountian View
Bell Buckle, TN 37020

Mailing address

101 Mountian View Road
Bell Buckle, TN 37020
Phone (615) 962-4238

Other providers in Bell Buckle, TN

All providers in Bell Buckle, TN · Licensed Practical Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.