Jessica Lynn Alden, RN

Individual provider Active NPI Registered Nurse · Springfield, TN

NPI 1831489129 · NPPES record last updated Apr 8, 2011

Key facts

NPI
1831489129
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN0000166444 (TN)
Practice address
800 S Brown St
Springfield, TN 37172-2920
Phone
(615) 384-0208
Fax
(615) 384-0245
NPI assigned
Apr 8, 2011
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000166444TNMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000166444 TN Yes

Addresses

Primary practice location

800 S Brown St
Springfield, TN 37172-2920

Mailing address

4859 Marion Rd
Cunningham, TN 37052-4785

Other providers in Springfield, TN

All providers in Springfield, TN · Registered Nurse in Tennessee

Sources for this page

Verify at the official NPI Registry.