1386729689 NPI number — SUSAN M ADAMS APRN, BC

Table of content: SUSAN M ADAMS APRN, BC (NPI 1386729689)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386729689 NPI number — SUSAN M ADAMS APRN, BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ADAMS
Provider First Name:
SUSAN
Provider Middle Name:
M
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
APRN, BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386729689
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2817 WHITE OAK DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37215-1221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-343-3324
Provider Business Mailing Address Fax Number:
615-936-0228

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
317 SEVEN SPRINGS WAY STE 201
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRENTWOOD
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37027-4511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-373-1255
Provider Business Practice Location Address Fax Number:
615-371-9040
Provider Enumeration Date:
10/26/2006

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: 363LP0808X , with the licence number:  APN6567 , 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)

  • Identifier: APN6567 . This is a "APN LICENSE" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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