Provider Demographics
NPI:1093322521
Name:RICHARDSON, MADELEINE RENEE (FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MADELEINE
Middle Name:RENEE
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MS
Other - First Name:MADELEINE
Other - Middle Name:RENEE
Other - Last Name:LOUGEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:152 LAUREL WAY
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-3026
Mailing Address - Country:US
Mailing Address - Phone:210-260-5655
Mailing Address - Fax:
Practice Address - Street 1:1406 COUNTY HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-3007
Practice Address - Country:US
Practice Address - Phone:615-862-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC326684163W00000X
NC5014982363L00000X
TN33653363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner