Healthcare Provider Details

I. General information

NPI: 1174567085
Provider Name (Legal Business Name): TYROMA DENISE RIGSBY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TYROMA DENISE HENDRIX DC

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1123 N CASTLE HEIGHTS AVE
LEBANON TN
37087-5724
US

IV. Provider business mailing address

PO BOX 3322
LEBANON TN
37088
US

V. Phone/Fax

Practice location:
  • Phone: 615-449-4151
  • Fax: 615-449-1994
Mailing address:
  • Phone: 615-449-4151
  • Fax: 615-449-1994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16082
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number16082
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: