Healthcare Provider Details

I. General information

NPI: 1144556341
Provider Name (Legal Business Name): JAPETH DURHAM FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2009
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4323 CAROTHERS PKWY STE 301
FRANKLIN TN
37067-5917
US

IV. Provider business mailing address

300 STONECREST BLVD STE 410
SMYRNA TN
37167-6802
US

V. Phone/Fax

Practice location:
  • Phone: 615-565-6670
  • Fax: 615-565-6677
Mailing address:
  • Phone: 615-220-6144
  • Fax: 615-220-3663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number164106
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number14894
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: