Healthcare Provider Details

I. General information

NPI: 1053280875
Provider Name (Legal Business Name): FOSTERS AFTERHOURS PRIMARY CARE AND COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4604 LANCASTER RD
SMYRNA TN
37167-3447
US

IV. Provider business mailing address

397 WALLACE RD STE 300
NASHVILLE TN
37211-8012
US

V. Phone/Fax

Practice location:
  • Phone: 615-953-0323
  • Fax:
Mailing address:
  • Phone: 615-953-0323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. LISA EVANS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 615-953-0323