MEDICARE: ERICA ZIMMERMAN PA-C

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	363A00000X	Physician Assistant	3079	TN

General Provider Information

NPI Number	:	1285189126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA ZIMMERMAN PA-C

Provider Business Mailing Address
First Line	:	2400 PATTERSON ST STE 100
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-2385
Country	:	US
Telephone Number	:	615-342-0038
Fax Number	:	615-324-1795

Provider Business Practice Location Address
First Line	:	3053 MEDICAL CENTER PKWY STE F
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37129-4186
Country	:	US
Telephone Number	:	615-342-0038
Fax Number	:	615-327-1795

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

Provider Enumeration Date	:	08/21/2016
Last Update Date	:	01/04/2022

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