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General NPI Number Information
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NPI Number | 1134825763
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE NURSE PRACTITIONERS
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 301 S PERIMETER PARK DR STE 100
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City | NASHVILLE
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State | TN
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Zip | 37211-4128
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Country | US
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Telephone | 615-478-6748
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Fax |
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Provider Business Mailing Address
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Address Line | 3908 S YORK HWY
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City | JAMESTOWN
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State | TN
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Zip | 38556-5362
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Country | US
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Telephone | 615-478-6748
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEPHANIE HUBBELL
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Credential | PMHNP CNM
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Telephone | 615-478-6748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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