Healthcare Provider Details

I. General information

NPI: 1669582078
Provider Name (Legal Business Name): CHRISTINE A DEMERS CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5247 REEDER SCHOOL RD
GREENBRIER TN
37073
US

IV. Provider business mailing address

5247 REEDER SCHOOL RD
GREENBRIER TN
37073
US

V. Phone/Fax

Practice location:
  • Phone: 615-428-7660
  • Fax: 615-643-9333
Mailing address:
  • Phone: 615-428-7660
  • Fax: 615-643-9333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN7720
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: