Provider Demographics
NPI:1730490475
Name:PREST, JESSICA LUNDIN (MD)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:LUNDIN
Last Name:PREST
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:3443 DICKERSON PIKE
Mailing Address - Street 2:SUITE G30
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-2519
Mailing Address - Country:US
Mailing Address - Phone:615-234-6390
Mailing Address - Fax:615-234-6393
Practice Address - Street 1:3443 DICKERSON PIKE
Practice Address - Street 2:SUITE G30
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-2519
Practice Address - Country:US
Practice Address - Phone:615-234-6390
Practice Address - Fax:615-234-6393
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2015-02-06
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Provider Licenses
StateLicense IDTaxonomies
TN51619207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine