Healthcare Provider Details

I. General information

NPI: 1760725261
Provider Name (Legal Business Name): BARBARA ROACH TINCHER ADULT NURSE PRACTITI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2013
Last Update Date: 04/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

556 HARTSVILLE PIKE
GALLATIN TN
37066-2491
US

IV. Provider business mailing address

165 DRIFTING CIR
LEBANON TN
37087-7559
US

V. Phone/Fax

Practice location:
  • Phone: 615-451-0038
  • Fax: 615-451-0121
Mailing address:
  • Phone: 615-443-4774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPN0000007974
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: