Healthcare Provider Details

I. General information

NPI: 1013426717
Provider Name (Legal Business Name): MARSHALL FIFE APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MARSHALL FIFE PMHNP-BC

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2125 BELCOURT AVENUE
NASHVILLE TN
37212-3503
US

IV. Provider business mailing address

2125 BELCOURT AVENUE
NASHVILLE TN
37212-3503
US

V. Phone/Fax

Practice location:
  • Phone: 615-224-9800
  • Fax: 615-224-9840
Mailing address:
  • Phone: 615-224-9800
  • Fax: 615-224-9840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number23466
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number23466
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: