Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jorge Enrique Celedonio Colquicocha, AGACNP-BC

Individual provider Registered Nurse · NPI 1386316628

Jorge Enrique Celedonio Colquicocha, AGACNP-BC is a Nurse Practitioner in Nashville, Tennessee. Qualified in 2021, 5 years ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-0011
Phone: (615) 322-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1161 21st Ave S, Nashville, TN 37232-0011 — (615) 343-8701

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 30563 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 0000248465 (TN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 30563 (TN)

Record details

NPI number1386316628
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP-BC
Sole proprietorYes
NPI enumeratedOctober 5, 2021
Last updated in NPPESMarch 26, 2022
Certification dateMarch 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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