Healthcare Provider Details

I. General information

NPI: 1497239537
Provider Name (Legal Business Name): ANNA MARIE FERRIS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 09/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1483 NASHVILLE PIKE
GALLATIN TN
37066-7144
US

IV. Provider business mailing address

150B DOGWOOD SPRINGS DR
PORTLAND TN
37148-5912
US

V. Phone/Fax

Practice location:
  • Phone: 615-451-5110
  • Fax:
Mailing address:
  • Phone: 865-660-1957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN0000194060
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPN0000024056
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: