Healthcare Provider Details

I. General information

NPI: 1861456428
Provider Name (Legal Business Name): FRANCES ELAINE HIBBS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 08/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 ADAMS ST. FAIRVIEW MEDICAL GROUP
FAIRVIEW TN
37062
US

IV. Provider business mailing address

7100 ADAMS ST FAIRVIEW MEDICAL GROUP
FAIRVIEW TN
37062
US

V. Phone/Fax

Practice location:
  • Phone: 615-799-1927
  • Fax: 931-670-6527
Mailing address:
  • Phone: 615-799-1927
  • Fax: 615-799-9771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN0000067615
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: