Provider Demographics
NPI:1033559562
Name:PRANSKY, JILL
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:PRANSKY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5101 LINBAR DR APT J110
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5097
Mailing Address - Country:US
Mailing Address - Phone:508-446-7116
Mailing Address - Fax:
Practice Address - Street 1:5101 LINBAR DR APT J110
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5097
Practice Address - Country:US
Practice Address - Phone:508-446-7116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator