Healthcare Provider Details

I. General information

NPI: 1497039499
Provider Name (Legal Business Name): MEREDITH SPRUILL HEPPLER ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2011
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 42ND AVE N STE 400
NASHVILLE TN
37209-3658
US

IV. Provider business mailing address

410 42ND AVE N STE 400
NASHVILLE TN
37209-3658
US

V. Phone/Fax

Practice location:
  • Phone: 615-329-7887
  • Fax: 615-340-4537
Mailing address:
  • Phone: 615-292-5722
  • Fax: 615-346-6225

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number16185
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: