Jackson, Gretchen Purcell
Jackson, Gretchen Purcell is an individual health care provider with primary practice located at 3601 The Vanderbilt Clinic , Nashville TN 37232-5100. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is her primary health care specialty. Jackson, Gretchen Purcell can be contacted via phone (615) 322-3000.Contact Information
Primary practice address
3601 The Vanderbilt Clinic
Nashville TN 37232-5100
Phone: (615) 322-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD41269 | Tennessee |
| Allopathic & Osteopathic Physicians / Pediatric Surgery | 2086S0120X | MD41269 | Tennessee |
Profile Details
| NPI number | 1790712693 |
|---|---|
| LBN Legal business name | Jackson, Gretchen Purcell |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Mar 18th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790712693 | NPPES |
| Other | 620476822 | TAX ID |
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