Healthcare Provider Details

I. General information

NPI: 1881494722
Provider Name (Legal Business Name): ABIGAIL NICOLE GOSIK FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 04/22/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 STONECREST BLVD
SMYRNA TN
37167-6810
US

IV. Provider business mailing address

306 CHAMBERLAIN DR
MURFREESBORO TN
37129-2145
US

V. Phone/Fax

Practice location:
  • Phone: 615-768-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number232557
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number38594
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: