Healthcare Provider Details

I. General information

NPI: 1356434864
Provider Name (Legal Business Name): JANE E HURTIG NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 06/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 20TH AVE N STE 301
NASHVILLE TN
37203-2131
US

IV. Provider business mailing address

PO BOX 440100
NASHVILLE TN
37244-0100
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-0570
  • Fax:
Mailing address:
  • Phone: 615-329-0570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN8362
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: