Provider Demographics
NPI:1891282380
Name:SANCHEZ, JONATHAN (FNP)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8355 SUMMIT HILL CT
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-4814
Mailing Address - Country:US
Mailing Address - Phone:386-205-9245
Mailing Address - Fax:
Practice Address - Street 1:6059 ARBURY WAY STE 101
Practice Address - Street 2:
Practice Address - City:OOLTEWAH
Practice Address - State:TN
Practice Address - Zip Code:37363-5001
Practice Address - Country:US
Practice Address - Phone:423-238-8880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-19
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN23950363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily