Healthcare Provider Details

I. General information

NPI: 1750838124
Provider Name (Legal Business Name): NICOLE PIISPANEN M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NICOLE RUBLE, EDMONDS

II. Dates (important events)

Enumeration Date: 09/02/2016
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3310 PERIMETER HILL DR
NASHVILLE TN
37211-4123
US

IV. Provider business mailing address

3310 PERIMETER HILL DR
NASHVILLE TN
37211-4123
US

V. Phone/Fax

Practice location:
  • Phone: 615-250-7202
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4414
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: