Healthcare Provider Details

I. General information

NPI: 1811590219
Provider Name (Legal Business Name): THE NURSE CONNECT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2020
Last Update Date: 06/06/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6485 STECK COVE
ARLINGTON TN
38002
US

IV. Provider business mailing address

6485 STECK COVE
ARLINGTON TN
38002
US

V. Phone/Fax

Practice location:
  • Phone: 901-489-0220
  • Fax:
Mailing address:
  • Phone: 901-489-0220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: CHASITY VASHON WOOTEN
Title or Position: CEO
Credential: RN
Phone: 901-489-0220