Healthcare Provider Details

I. General information

NPI: 1205268620
Provider Name (Legal Business Name): MONICA LAMBERT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2013
Last Update Date: 08/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W BURTON ST
MURFREESBORO TN
37130-3657
US

IV. Provider business mailing address

245 OPOSSUM PAW RD
BEECHGROVE TN
37018-3042
US

V. Phone/Fax

Practice location:
  • Phone: 615-898-7880
  • Fax:
Mailing address:
  • Phone: 931-952-0559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number17853
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: