Healthcare Provider Details

I. General information

NPI: 1538172176
Provider Name (Legal Business Name): BRENDA RUCKER STEGER BSN, RNC, M.ED/C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRENDA O'VAUGHN RUCKER RNC, M.ED/COUNSELING

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 24TH AVE S
NASHVILLE TN
37212-2637
US

IV. Provider business mailing address

9153 JONES CT
BRENTWOOD TN
37027-8537
US

V. Phone/Fax

Practice location:
  • Phone: 615-327-4751
  • Fax:
Mailing address:
  • Phone: 615-327-4751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberRN0119300
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: