MEDICARE: MR. JACK DEMPSEY HYDRICK II FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	7765	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4095318	OTHER	TN	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053382648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JACK DEMPSEY HYDRICK II FNP

Provider Business Mailing Address
First Line	:	2910 SOUTH CHURCH ST
Second Line	:	STE B
City	:	MURFREESBORO
State	:	TN
Zip	:	37127
Country	:	US
Telephone Number	:	615-895-3600
Fax Number	:	615-895-0024

Provider Business Practice Location Address
First Line	:	2910 SOUTH CHURCH ST
Second Line	:	STE B
City	:	MURFREESBORO
State	:	TN
Zip	:	37127
Country	:	US
Telephone Number	:	615-895-3600
Fax Number	:	615-895-0024

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	12/01/2015

Similar Medicare Providers

1942166822 — ALEXANDRIA PAIGE DYCUS
Practice Location Address:

2910 S CHURCH ST STE B
MURFREESBORO, TN
37127-7149

Practice Phone: 615-895-3600
Practice Fax:

1851242622 — KRISSETTA BRANDON
Practice Location Address:

3022 BONAVENTURE CT
MURFREESBORO, TN
37127-7155

Practice Phone: 615-877-5912
Practice Fax:

1508866898 — COMMUNITY CARE OF RUTHERFORD COUNTY, INC.
Practice Location Address:

901EAST COUNTY FARM RD
MURFREESBORO, TN
37127-6328

Practice Phone: 615-893-2624
Practice Fax: 615-898-7989

1518951656 — MR. KURT MICHAEL KNOLL PA-C
Practice Location Address:

2910 SOUTH CHURCH STREET, SUITE B
MURFREESBORO, TN
37127-7149

Practice Phone: 615-895-3600
Practice Fax: 615-895-0024

1003890609 — DR. TRAVIS M. JOHNSON O.D.
Practice Location Address:

140 JOE B JACKSON PKWY
MURFREESBORO, TN
37127-7228

Practice Phone: 615-203-9165
Practice Fax:

1912978370 — BARFIELD FAMILY WALK IN CLINIC
Practice Location Address:

2910 SOUTH CHURCH ST , SUITE B
MURFREESBORO, TN
37127-7149

Practice Phone: 615-895-3600
Practice Fax: 615-895-0024

Directions to “ MR. JACK DEMPSEY HYDRICK II FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.