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NPI Code Detail

MEDICARE: LIPSCOMB UNIVERSITY

MEDICARE: LIPSCOMB UNIVERSITY
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
1261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1336880798
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIPSCOMB UNIVERSITY
Provider Business Mailing Address
First Line : 1 UNIVERSITY PARK DR
Second Line :
City : NASHVILLE
State : TN
Zip : 37204-3956
Country : US
Telephone Number : 615-966-6304
Fax Number : 615-966-5286
Provider Business Practice Location Address
First Line : 3705 FERNDALE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-3023
Country : US
Telephone Number : 615-966-6304
Fax Number : 615-966-5286
Authorized Official
Title or Position : FNP/DIRECTOR OF HEALTH SERVICES
Name : ERIN C KECKLEY
Credential : FNP
Telephone Number : 615-966-6304
Provider Enumeration Date : 04/07/2022
Last Update Date : 04/07/2022

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Directions to “LIPSCOMB UNIVERSITY ” Practice Location

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