Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NIVEDITA PRASANNA, M.D.
Active Sole ProprietorDR. NIVEDITA PRASANNA, M.D. is a Critical Care Medicine healthcare provider located in JACKSON, Tennessee. NPI 1255713343 is currently active in the NPPES registry. Verify at CMS.
Critical Care Medicine · JACKSON, TN
Registration Details
- NPI Number
- 1255713343
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 24, 2015 (11.150080126164 yrs)
- Last Updated
- Apr 5, 2021
- Licenses
-
125067100 (IL)61203 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
620 SKYLINE DRJACKSON, TN, 383013923Browse TN providers · Browse ZIP 38301
- Phone
- 7315415000
- Fax
- 7316608739
- Primary Specialty
-
Critical Care Medicine
207RC0200X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Critical Care Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.