Provider Demographics
NPI:1861625998
Name:PITTS, JENNIFER MICHELE (MSN, APN, BC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MICHELE
Last Name:PITTS
Suffix:
Gender:F
Credentials:MSN, APN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1725 MEDICAL CENTER PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2247
Mailing Address - Country:US
Mailing Address - Phone:615-494-9040
Mailing Address - Fax:615-494-9970
Practice Address - Street 1:1725 MEDICAL CENTER PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2247
Practice Address - Country:US
Practice Address - Phone:615-494-9040
Practice Address - Fax:615-494-9970
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN14362363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health