Healthcare Provider Details

I. General information

NPI: 1568498665
Provider Name (Legal Business Name): TANCY BRIDGES RN, MSN, NPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SPRINGHOUSE CT
HENDERSONVILLE TN
37075-1609
US

IV. Provider business mailing address

107 GLIDEPATH WAY
LEBANON TN
37090-4133
US

V. Phone/Fax

Practice location:
  • Phone: 615-824-7491
  • Fax: 615-449-5740
Mailing address:
  • Phone: 615-449-5771
  • Fax: 615-449-5740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN0000123178
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: