MEDICARE: LUKE HOUSTON WEBB NP

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	363LA2100X	Acute Care Nurse Practitioner	26302	TN

General Provider Information

NPI Number	:	1205481355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKE HOUSTON WEBB NP

Provider Business Mailing Address
First Line	:	3841 GREEN HILLS VILLAGE DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2691
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 MEDICAL CENTER DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37232-3674
Country	:	US
Telephone Number	:	205-910-5117
Fax Number	:

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

Provider Enumeration Date	:	08/06/2019
Last Update Date	:	03/15/2022

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