MEDICARE: PORTIA FURMON

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
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1053255141
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PORTIA FURMON

Provider Business Mailing Address
First Line	:	6339 CHARLOTTE PIKE # 873
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-2926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6339 CHARLOTTE PIKE # 873
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-2926
Country	:	US
Telephone Number	:	615-788-2659
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “ PORTIA FURMON ” Practice Location

Language	Start Address	Practice Location

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