MEDICARE: HER HEALTH , PLLC

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

General Provider Information

NPI Number	:	1679396063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HER HEALTH , PLLC

Provider Business Mailing Address
First Line	:	651 S MOUNT JULIET RD # 224
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-6319
Country	:	US
Telephone Number	:	615-553-1133
Fax Number	:	615-559-0377

Provider Business Practice Location Address
First Line	:	1984 PROVIDENCE PKWY STE 201
Second Line	:
City	:	MT JULIET
State	:	TN
Zip	:	37122-4459
Country	:	US
Telephone Number	:	615-553-1133
Fax Number	:	615-559-0377

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	JUDY MORGAN
Credential	:
Telephone Number	:	615-553-1133

Provider Enumeration Date	:	11/04/2024
Last Update Date	:	06/17/2026

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