Healthcare Provider Details

I. General information

NPI: 1851212302
Provider Name (Legal Business Name): JUNIPER HOUSE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 TROUSDALE DR STE 114
NASHVILLE TN
37220-1398
US

IV. Provider business mailing address

2011 MCCRORY PL
SPRING HILL TN
37174-6158
US

V. Phone/Fax

Practice location:
  • Phone: 931-374-2686
  • Fax: 931-208-3374
Mailing address:
  • Phone: 931-374-2686
  • Fax: 931-208-3374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LETIZIA BAXTER SMITH
Title or Position: OWNER
Credential:
Phone: 931-374-2686