Healthcare Provider Details

I. General information

NPI: 1730310228
Provider Name (Legal Business Name): HARMONY FAMILY HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2009
Last Update Date: 07/14/2020
Certification Date: 07/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 JOHN MALLETTE DR
NASHVILLE TN
37218-2672
US

IV. Provider business mailing address

404 DR D B TODD JR BLVD STE 200
NASHVILLE TN
37203-2951
US

V. Phone/Fax

Practice location:
  • Phone: 615-291-9923
  • Fax: 615-442-8335
Mailing address:
  • Phone: 615-291-9923
  • Fax: 615-678-6470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN 0000005739
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPN0000011516
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAPN0000005719
License Number StateTN

VIII. Authorized Official

Name: MS. CARLOTTA M. G. CRAWFORD
Title or Position: EXECUTIVE DIRECTOR
Credential: CNM
Phone: 615-291-9923