Provider Demographics
NPI:1417831405
Name:VELTING, JONATHAN DEAN (RN)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:DEAN
Last Name:VELTING
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 PROVIDENCE PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-6361
Mailing Address - Country:US
Mailing Address - Phone:615-979-4717
Mailing Address - Fax:
Practice Address - Street 1:2010 PROVIDENCE PKWY STE 300
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-6361
Practice Address - Country:US
Practice Address - Phone:615-979-4717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-02
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN247434163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse