MEDICARE: MRS. LAURA ANN HENDRIX MSN, APRN, AGACNP-BC

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	363LA2100X	Acute Care Nurse Practitioner	40159	TN
2	363LA2200X	Adult Health Nurse Practitioner	40159	TN
3	363LG0600X	Gerontology Nurse Practitioner	40159	TN

General Provider Information

NPI Number	:	1306700604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA ANN HENDRIX MSN, APRN, AGACNP-BC

Provider Business Mailing Address
First Line	:	2906 FOSTER CREIGHTON DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3733
Country	:	US
Telephone Number	:	615-343-3676
Fax Number	:	615-343-3690

Provider Business Practice Location Address
First Line	:	2906 FOSTER CREIGHTON DR STE 200
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37204-3733
Country	:	US
Telephone Number	:	615-343-3676
Fax Number	:	615-343-3690

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

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	02/11/2026

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