Provider Demographics
NPI:1740421569
Name:ZAUNER, JACQUELINE BUSBY (NP)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:BUSBY
Last Name:ZAUNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:JACQUELIN
Other - Middle Name:ANNETTE
Other - Last Name:ZAUNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1004 N HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-2454
Mailing Address - Country:US
Mailing Address - Phone:615-893-4480
Mailing Address - Fax:615-867-7945
Practice Address - Street 1:1004 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-2454
Practice Address - Country:US
Practice Address - Phone:615-893-4480
Practice Address - Fax:615-867-7945
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000165863363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner