Provider Demographics
NPI:1013157767
Name:MUSEE, JENNIFER EKUA (PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:EKUA
Last Name:MUSEE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MISS
Other - First Name:JENNIFER
Other - Middle Name:EKUA
Other - Last Name:ENCHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:4230 HARDING PIKE
Mailing Address - Street 2:ST THOMAS MEDICAL PLAZA EAST, SUITE 707
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2013
Mailing Address - Country:US
Mailing Address - Phone:615-760-3990
Mailing Address - Fax:615-760-3991
Practice Address - Street 1:4230 HARDING PIKE
Practice Address - Street 2:ST THOMAS MEDICAL PLAZA EAST, SUITE 707
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2013
Practice Address - Country:US
Practice Address - Phone:615-760-3990
Practice Address - Fax:615-760-3991
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN167685163WP0808X
WI6696-33363LP0808X
TN14531363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1516080Medicaid