Jo Fair, ANP

Key facts

NPI

1922599893

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

23458 (TN)

Practice address

7735 Farmington Blvd
Germantown, TN 38138-2901

Phone

(901) 757-6805

NPI assigned

May 25, 2018

Sex

Female

Sole proprietor

Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivxpress Inc Infusion Therapy Clinic/Center · Overland Park, KS · NPI 1801025481
  NPD (past)
• Precision Health Care, Inc Infusion Therapy Clinic/Center · Lowell, AR · NPI 1902298342
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 24, 2023.

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1922599893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 DONELSON PIKE STE 395",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143563",
            "telephone_number": "615-367-1444",
            "fax_number": "615-367-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 FARMINGTON BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382901",
            "telephone_number": "901-757-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIR",
        "first_name": "JO",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Germantown, TN · Family Nurse Practitioner in Tennessee