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General NPI Number Information
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NPI Number | 1568273605
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Entity Type | Organization
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Legal Business Name | IRIS WOUND CARE, PC
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 9019 OVERLOOK BLVD STE C1B
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City | BRENTWOOD
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State | TN
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Zip | 37027-2737
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Country | US
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Telephone | 615-274-9767
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Fax | 833-450-4801
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Provider Business Mailing Address
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Address Line | 9019 OVERLOOK BLVD STE C1B
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City | BRENTWOOD
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State | TN
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Zip | 37027-2737
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Country | US
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Telephone | 615-274-9767
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Fax | 833-450-4801
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Authorized Official
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Title or Position | OWNER
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Name | JOEL PARKER
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Credential | MD
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Telephone | 225-284-7336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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