Provider Demographics
NPI:1801600465
Name:JESTINE, JESLINE SARA (APRN; FNP-C)
Entity type:Individual
Prefix:
First Name:JESLINE
Middle Name:SARA
Last Name:JESTINE
Suffix:
Gender:
Credentials:APRN; FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8132 CORDOVA RD
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-6005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8132 CORDOVA RD
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38016-6005
Practice Address - Country:US
Practice Address - Phone:901-405-6470
Practice Address - Fax:901-747-2338
Is Sole Proprietor?:No
Enumeration Date:2025-02-04
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN37913363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily