Provider Demographics
NPI:1255310561
Name:BETTS, JENNIFER S (MSN, FNP, PMH-CNS)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:S
Last Name:BETTS
Suffix:
Gender:F
Credentials:MSN, FNP, PMH-CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 HARDING PIKE STE B-227
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2119
Mailing Address - Country:US
Mailing Address - Phone:615-730-5832
Mailing Address - Fax:615-581-2324
Practice Address - Street 1:4525 HARDING PIKE STE B-227
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2119
Practice Address - Country:US
Practice Address - Phone:615-730-5832
Practice Address - Fax:615-581-2324
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7088364SP0809X
TNRN0000103251163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4343207OtherBCBST
TN10350I3108OtherMEDICAREPTAN
TN62308OtherCIGNA