Basic Information
| Provider Information | |||||||||
| NPI: | 1932194388 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | STERNBERG | ||||||||
| FirstName: | JENNIFER | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | CFNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 BATTLEFIELD DR | ||||||||
| Address2: | |||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372042920 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152982335 | ||||||||
| FaxNumber: | 6154671402 | ||||||||
| Practice Location | |||||||||
| Address1: | 4928 EDMONDSON PIKE | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | NASHVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 372114787 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6152221400 | ||||||||
| FaxNumber: | 6152221410 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2005 | ||||||||
| LastUpdateDate: | 07/14/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 8029 | TN | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
ID Information
| ID | Type | State | Issuer | Description | 3928916 | 01 | MEDICARE | OTHER | 4091092 | 01 | TN | BCBS | OTHER | 3714350 | 05 | TN | MEDICAID | 4143556 | 01 | TN | BCBS | OTHER | 3928918 | 01 | MEDICARE | OTHER | 3928918 | 05 | TN | MEDICAID |