Healthcare Provider Details

I. General information

NPI: 1669288932
Provider Name (Legal Business Name): EMMA SPOFFORD ZAAYMAN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2024
Last Update Date: 12/10/2024
Certification Date: 12/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 STONECREST BLVD STE 310
SMYRNA TN
37167-6801
US

IV. Provider business mailing address

808 TINTERN ABBOTT CT
NASHVILLE TN
37211-7146
US

V. Phone/Fax

Practice location:
  • Phone: 629-206-6858
  • Fax:
Mailing address:
  • Phone: 571-275-3166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number37721
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: