Healthcare Provider Details

I. General information

NPI: 1669940169
Provider Name (Legal Business Name): DARBY COOK SANGREY MSN, RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DARBY RICHARDSON COOK

II. Dates (important events)

Enumeration Date: 11/02/2018
Last Update Date: 02/26/2020
Certification Date: 02/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5045 OLD HICKORY BLVD STE 203
HERMITAGE TN
37076-2582
US

IV. Provider business mailing address

212 BLACKMAN RD
NASHVILLE TN
37211-5138
US

V. Phone/Fax

Practice location:
  • Phone: 615-933-3633
  • Fax: 615-823-6889
Mailing address:
  • Phone: 678-446-7472
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number24994
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: