Healthcare Provider Details

I. General information

NPI: 1174437974
Provider Name (Legal Business Name): CARMEN CAPO-CHICHI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARMEN ZINSOU

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 MEDICAL CENTER DR
NASHVILLE TN
37232-0004
US

IV. Provider business mailing address

2110 ELLISTON PL APT 603
NASHVILLE TN
37203-5476
US

V. Phone/Fax

Practice location:
  • Phone: 615-875-2744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number50157
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: