Jantzen Moss, LPN is a
Licensed Practical Nurse based in Milan, Tennessee. Jantzen Moss is licensed to practice in Tennessee (license number 65174) and her current practice location is
4039 Highland St, Suite 2, Milan, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(731) 723-1327.
NPI number for Jantzen Moss is 1245665868 and her current mailing address is 1804 Highway 45 Byp, Suite 604, Jackson, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245665868.
Provider's Profile
| Full Name | Jantzen Moss |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 4039 Highland St, Milan, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245665868
- Provider Enumeration Date: 09/13/2013
- Last Update Date: 09/13/2013
Medical Identifiers
Medical identifiers for Jantzen Moss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245665868 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 65174 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jantzen Moss is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jantzen Moss, LPN
1804 Highway 45 Byp, Suite 604,
Jackson, TN 38305-4436
Ph: (731) 660-7971 | Jantzen Moss, LPN
4039 Highland St, Suite 2,
Milan, TN 38358-3483
Ph: (731) 723-1327 |
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