Provider Demographics
NPI:1932673589
Name:SPEARS, JENNIFER ELIZABETH (FNP-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ELIZABETH
Last Name:SPEARS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2656 RUCKER RD
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANA
Mailing Address - State:TN
Mailing Address - Zip Code:37037
Mailing Address - Country:US
Mailing Address - Phone:423-280-0874
Mailing Address - Fax:
Practice Address - Street 1:2910 SOUTH CHURCH STREET SUITE B
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37127
Practice Address - Country:US
Practice Address - Phone:615-895-3600
Practice Address - Fax:615-895-0024
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-16
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN141631163W00000X
TN28412363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse