Provider Demographics
NPI:1619004793
Name:ARNOLD, JEANNE CARON (RN)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:CARON
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9852 HWY22
Mailing Address - Street 2:
Mailing Address - City:DRESDEN
Mailing Address - State:TN
Mailing Address - Zip Code:38225
Mailing Address - Country:US
Mailing Address - Phone:731-364-2210
Mailing Address - Fax:731-364-5846
Practice Address - Street 1:3892 GLEASON COMO RD
Practice Address - Street 2:
Practice Address - City:GLEASON
Practice Address - State:TN
Practice Address - Zip Code:38229-6448
Practice Address - Country:US
Practice Address - Phone:731-648-0591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000083773163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse