Healthcare Provider Details

I. General information

NPI: 1821689118
Provider Name (Legal Business Name): LORIE VALENTIN MSN, FNP - NC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2021
Last Update Date: 01/05/2022
Certification Date: 01/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 HILLSBORO PIKE
NASHVILLE TN
37215-2603
US

IV. Provider business mailing address

1002 BENTON HARBOR BLVD
MT JULIET TN
37122-2220
US

V. Phone/Fax

Practice location:
  • Phone: 615-385-0622
  • Fax:
Mailing address:
  • Phone: 210-382-4215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28876
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: