Healthcare Provider Details

I. General information

NPI: 1053034223
Provider Name (Legal Business Name): JOANNA SABATINI HIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4091 MALLORY LN STE 122
FRANKLIN TN
37067-4850
US

IV. Provider business mailing address

300 SEVEN SPRINGS WAY APT 233
BRENTWOOD TN
37027-6078
US

V. Phone/Fax

Practice location:
  • Phone: 615-880-9219
  • Fax:
Mailing address:
  • Phone: 518-542-7996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number1022
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: