Provider Demographics
NPI:1003232927
Name:HIATT, EMILY A (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:A
Last Name:HIATT
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 306088
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6088
Mailing Address - Country:US
Mailing Address - Phone:800-514-4390
Mailing Address - Fax:440-808-3704
Practice Address - Street 1:3310 W END AVE
Practice Address - Street 2:SUITE 590
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1028
Practice Address - Country:US
Practice Address - Phone:615-454-9850
Practice Address - Fax:888-972-4927
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN18336363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily