MEDICARE: JULIETTE MATTHEWS GARST FNP-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	363LF0000X	Family Nurse Practitioner	37316	TN

General Provider Information

NPI Number	:	1487478681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIETTE MATTHEWS GARST FNP-BC

Provider Business Mailing Address
First Line	:	1804 GOLDEN CT
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-4500
Country	:	US
Telephone Number	:	615-428-6516
Fax Number	:

Provider Business Practice Location Address
First Line	:	1804 GOLDEN CT
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-4500
Country	:	US
Telephone Number	:	615-428-6516
Fax Number	:

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

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	11/13/2024

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