Healthcare Provider Details

I. General information

NPI: 1033030572
Provider Name (Legal Business Name): CAMILLE GRACE REIGARD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

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

1900 BELMONT BLVD
NASHVILLE TN
37212-3757
US

IV. Provider business mailing address

1900 BELMONT BLVD
NASHVILLE TN
37212-3757
US

V. Phone/Fax

Practice location:
  • Phone: 615-460-6000
  • Fax:
Mailing address:
  • Phone: 615-460-6000
  • Fax: 615-934-9105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number279690
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number279690
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: