Healthcare Provider Details

I. General information

NPI: 1841166766
Provider Name (Legal Business Name): DOMINIKA KATARZYNA KOZAKIEWICZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DOMINIKA KATARZYNA LIGEZA

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 MEDICAL CENTER PKWY STE 300
MURFREESBORO TN
37129-3237
US

IV. Provider business mailing address

2004 HAYES ST STE 800
NASHVILLE TN
37203-2659
US

V. Phone/Fax

Practice location:
  • Phone: 615-848-0488
  • Fax: 615-904-9061
Mailing address:
  • Phone: 615-329-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number40065
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: