Healthcare Provider Details

I. General information

NPI: 1043597552
Provider Name (Legal Business Name): JULIET ROCHE RN, APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2011
Last Update Date: 02/25/2021
Certification Date: 02/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 VIRGINIA ST
PARIS TN
38242
US

IV. Provider business mailing address

4525 HARDING PIKE STE 200
NASHVILLE TN
37205-2154
US

V. Phone/Fax

Practice location:
  • Phone: 731-642-0521
  • Fax: 731-642-1010
Mailing address:
  • Phone: 615-488-8463
  • Fax: 615-235-1197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number16226
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: