Healthcare Provider Details

I. General information

NPI: 1992231195
Provider Name (Legal Business Name): VANESSA WARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2017
Last Update Date: 05/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1909 HAMPSHIRE PIKE
COLUMBIA TN
38401-5650
US

IV. Provider business mailing address

230 PIONEER RD.
HOHENWALD TN
38462
US

V. Phone/Fax

Practice location:
  • Phone: 931-388-5757
  • Fax:
Mailing address:
  • Phone: 931-306-4659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: