1184911539 NPI number — NINA FERRELL BIGGS DDS

Table of content: NINA FERRELL BIGGS DDS (NPI 1184911539)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184911539 NPI number — NINA FERRELL BIGGS DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIGGS
Provider First Name:
NINA
Provider Middle Name:
FERRELL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SHERRILL
Provider Other First Name:
NINA
Provider Other Middle Name:
FERRELL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DDS
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1184911539
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/04/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2289 RUDOLPHTOWN ROAD
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
CLARKSVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37043
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
931-647-2243
Provider Business Mailing Address Fax Number:
931-645-8553

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2289 RUDOLPHTOWN ROAD
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
CLARKSVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37043
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
931-647-2243
Provider Business Practice Location Address Fax Number:
931-645-8553
Provider Enumeration Date:
07/06/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  9335 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)