Healthcare Provider Details

I. General information

NPI: 1992149819
Provider Name (Legal Business Name): ALEXIS A MCCHURCH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2013
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5651 FRIST BLVD STE 309
HERMITAGE TN
37076
US

IV. Provider business mailing address

5651 FRIST BLVD STE 213
HERMITAGE TN
37076-2056
US

V. Phone/Fax

Practice location:
  • Phone: 615-250-6900
  • Fax: 615-250-6904
Mailing address:
  • Phone: 615-250-6900
  • Fax: 615-467-6692

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number160890
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17644
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: