1407917016 NPI number — MS. BARBARA ANN PRESLEY NP

Table of content: MS. BARBARA ANN PRESLEY NP (NPI 1407917016)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1407917016 NPI number — MS. BARBARA ANN PRESLEY NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PRESLEY
Provider First Name:
BARBARA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PRESLEY
Provider Other First Name:
BARBARA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
NP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1407917016
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
231 GREEN HARBOR RD APT 135
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OLD HICKORY
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37138-1037
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-754-9680
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1301 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURFREESBORO
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37130
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-898-1989
Provider Business Practice Location Address Fax Number:
615-898-5004
Provider Enumeration Date:
12/13/2006

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: 363LA2200X , with the licence number:  APN 10430 , 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)