Healthcare Provider Details

I. General information

NPI: 1801782016
Provider Name (Legal Business Name): CAROLINE FOURNIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 VANDERBILT PL APT 209
NASHVILLE TN
37212-2533
US

IV. Provider business mailing address

3000 VANDERBILT PL APT 209
NASHVILLE TN
37212-2533
US

V. Phone/Fax

Practice location:
  • Phone: 860-999-4086
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number281485
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: