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NPI Code Detail

MEDICARE: HANA ROUSSEY APRN

MEDICARE:   HANA  ROUSSEY  APRN
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 Practitioner34167TN

General Provider Information

NPI Number : 1922785120
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANA ROUSSEY APRN
Provider Business Mailing Address
First Line : 2723 NEW SALEM HWY
Second Line :
City : MURFREESBORO
State : TN
Zip : 37128-5253
Country : US
Telephone Number : 615-410-9360
Fax Number : 629-207-4831
Provider Business Practice Location Address
First Line : 426 21ST AVE S
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-2424
Country : US
Telephone Number : 615-321-2590
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2023
Last Update Date : 12/31/2025

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