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NPI Code Detail

MEDICARE: CROSSROADS URGENT CARE PLLC

MEDICARE: CROSSROADS URGENT CARE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant
2363L00000XNurse Practitioner
3261QP2300XPrimary Care Clinic/Center
4261QU0200XUrgent Care Clinic/Center
5207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1043107998
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSSROADS URGENT CARE PLLC
Provider Business Mailing Address
First Line : 30 BURTON HILLS BLVD STE 175
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-6403
Country : US
Telephone Number : 615-988-2000
Fax Number :
Provider Business Practice Location Address
First Line : 7860 WOLF RIVER BLVD
Second Line :
City : GERMANTOWN
State : TN
Zip : 38138-1712
Country : US
Telephone Number : 901-390-4300
Fax Number :
Authorized Official
Title or Position : CONTROLLER
Name : STEPHANIE HICKS
Credential :
Telephone Number : 615-988-2004
Provider Enumeration Date : 06/23/2025
Last Update Date : 06/23/2025

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Directions to “CROSSROADS URGENT CARE PLLC ” Practice Location

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