Healthcare Provider Details

I. General information

NPI: 1033367586
Provider Name (Legal Business Name): LORI RUSHING APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 10/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 HARDING PIKE SUITE 500
NASHVILLE TN
37205-2005
US

IV. Provider business mailing address

501 GREAT CIRCLE RD SUITE 200
NASHVILLE TN
37228-1317
US

V. Phone/Fax

Practice location:
  • Phone: 615-222-3445
  • Fax: 615-222-5322
Mailing address:
  • Phone: 615-222-3449
  • Fax: 615-222-5322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number70156
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number14275
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: