Neenu Jithin

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95030302 Issued in CA

Practice address

102 Highland RDG
Hendersonville, TN 37075-8589

Phone

(818) 564-9512

NPI assigned

Jun 3, 2024

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1679314744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HIGHLAND RDG",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758589",
            "telephone_number": "818-564-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HIGHLAND RDG",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758589",
            "telephone_number": "818-564-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JITHIN",
        "first_name": "NEENU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95030302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Jenkins, PA-C
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• David George Jewett, M.D.
• Promise Joe
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• Antionette Johnson
• Camille Johnson
• Dennis Neil Johnson, RPH

• Pediatric Nurse Practitioner in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.