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NPI Code Detail

MEDICARE: MS. PAULA CLAIRE HAVELIN FNP, ACNP

MEDICARE: MS. PAULA CLAIRE HAVELIN FNP, ACNP
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
1363LF0000XFamily Nurse Practitioner14492TN
2363LF0000XFamily Nurse Practitioner0000014492TN

General Provider Information

NPI Number : 1376814095
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PAULA CLAIRE HAVELIN FNP, ACNP
Provider Business Mailing Address
First Line : 1010 WASHINGTON DR
Second Line :
City : COTTONTOWN
State : TN
Zip : 37048-4740
Country : US
Telephone Number : 615-293-6566
Fax Number :
Provider Business Practice Location Address
First Line : 426 21ST AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2424
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2012
Last Update Date : 06/26/2025

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