Healthcare Provider Details

I. General information

NPI: 1467775841
Provider Name (Legal Business Name): TANYA M. ROWLETT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2010
Last Update Date: 07/28/2021
Certification Date: 07/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2449 OLD FORT PKWY
MURFREESBORO TN
37128-4162
US

IV. Provider business mailing address

8 CADILLAC DR STE. 250
BRENTWOOD TN
37027-5087
US

V. Phone/Fax

Practice location:
  • Phone: 615-225-0140
  • Fax: 615-225-0141
Mailing address:
  • Phone: 615-425-4225
  • Fax: 615-425-4268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number108495
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number344355
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: