Bannister, Jill Renee

Bannister, Jill Renee is an individual health care provider with primary practice located at 1018 W Main St , Lebanon TN 37087-3302. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Bannister, Jill Renee can be contacted via phone (615) 466-5200.

Contact Information

Primary practice address
1018 W Main St Lebanon TN 37087-3302
Phone: (615) 466-5200
Fax: (615) 466-5206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 808 Tennessee

Profile Details

NPI number 1093716516
LBN Legal business name Bannister, Jill Renee
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Sep 13th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1093716516 NPPES
Tennessee Other 808 MEDICAL LICENSE, TN

Popular Providers