Provider Demographics
NPI:1326459579
Name:WARKENTIN, JON VICTOR (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:VICTOR
Last Name:WARKENTIN
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:TENNESSEE DEPT OFHEALTH
Mailing Address - Street 2:710 JAMES ROBERTSON PKWY., 3RD FLOOR AJT
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37243-0001
Mailing Address - Country:US
Mailing Address - Phone:615-253-1364
Mailing Address - Fax:615-253-1370
Practice Address - Street 1:TENNESSEE DEPT OFHEALTH
Practice Address - Street 2:710 JAMES ROBERTSON PKWY., 3RD FLOOR AJT
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-0001
Practice Address - Country:US
Practice Address - Phone:615-253-1364
Practice Address - Fax:615-253-1370
Is Sole Proprietor?:No
Enumeration Date:2014-05-09
Last Update Date:2014-05-09
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Provider Licenses
StateLicense IDTaxonomies
TNMD342272083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine