Healthcare Provider Details

I. General information

NPI: 1699653592
Provider Name (Legal Business Name): ADAORA NWOKEABIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

205 NIXON WAY
LA VERGNE TN
37086-3671
US

V. Phone/Fax

Practice location:
  • Phone: 615-873-8040
  • Fax:
Mailing address:
  • Phone: 615-613-7252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0705X
TaxonomyMedical-Surgical Registered Nurse
License Number216764
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: