Individual provider · NPI-1

Jonathan Aristorenas, MD

Family Medicine · Jackson, TN

NPI number1851929038
StatusActive
Last updated in NPPESJul 6, 2023

Details

NPI
1851929038
Entity type
Individual (NPI-1)
Name
Jonathan Aristorenas
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 1, 2020
Certification date
Jun 27, 2023
Last updated
Jul 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine65309TNYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

620 Skyline Dr
Jackson, TN 38301-3923

Phone 731-541-5000

Mailing address

14 Larkhaven Loop
Jackson, TN 38305-3915

Phone 731-607-1446

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