NPI Code Details Logo

NPI 1154119980

NPI 1154119980 : MADISON FREELS : SPRING HILL, TN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1154119980
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MADISON FREELS
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/30/2025
-----------------------------------------------------
    Last Update Date     |    01/07/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5221 PORT ROYAL RD STE 301 
-----------------------------------------------------
    City                 |    SPRING HILL
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37174-3512
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    615-439-6180
-----------------------------------------------------
    Fax                  |    615-261-8683
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    461 21ST AVE S 
-----------------------------------------------------
    City                 |    NASHVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37240-1104
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    39671
-----------------------------------------------------
    License Number State |    TN
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.