Healthcare Provider Details

I. General information

NPI: 1154313146
Provider Name (Legal Business Name): JEFFREY L. HYMES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 05/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 WHITE BRIDGE RD STE. 300
NASHVILLE TN
37205-1499
US

IV. Provider business mailing address

28 WHITE BRIDGE RD STE. 300
NASHVILLE TN
37205-1499
US

V. Phone/Fax

Practice location:
  • Phone: 615-356-4111
  • Fax: 615-356-8011
Mailing address:
  • Phone: 615-356-4111
  • Fax: 615-356-8011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number17390
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: