Healthcare Provider Details

I. General information

NPI: 1285044552
Provider Name (Legal Business Name): EDNA MARIE LEWIS CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EDNA MARIE TUCKER CNM

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 MEDICAL CENTER DR
NASHVILLE TN
37232-0028
US

IV. Provider business mailing address

3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE TN
37215-2691
US

V. Phone/Fax

Practice location:
  • Phone: 615-322-5000
  • Fax:
Mailing address:
  • Phone: 615-322-6842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number22028
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP5499
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: