Healthcare Provider Details

I. General information

NPI: 1598175739
Provider Name (Legal Business Name): REBECCA RAYMOND FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2014
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4805 COLUMBIA PIKE
THOMPSONS STATION TN
37179-5207
US

IV. Provider business mailing address

1154 LIBERTY PIKE
FRANKLIN TN
37067-5608
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71018110A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18571
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: