Provider Demographics
NPI:1295443562
Name:NANCE, JESSICA (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:
Last Name:NANCE
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 BUFFALO RD
Mailing Address - Street 2:
Mailing Address - City:HOHENWALD
Mailing Address - State:TN
Mailing Address - Zip Code:38462-1905
Mailing Address - Country:US
Mailing Address - Phone:615-956-4825
Mailing Address - Fax:
Practice Address - Street 1:5221 PORT ROYAL RD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-3511
Practice Address - Country:US
Practice Address - Phone:615-439-6180
Practice Address - Fax:615-261-8683
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN32848363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health