Provider Demographics
NPI:1225347784
Name:HOCKING, HEATHER MAYZELL (APRN FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:MAYZELL
Last Name:HOCKING
Suffix:
Gender:F
Credentials:APRN FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 ESTES RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2221
Mailing Address - Country:US
Mailing Address - Phone:901-277-7432
Mailing Address - Fax:
Practice Address - Street 1:4105 ESTES RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2221
Practice Address - Country:US
Practice Address - Phone:901-277-7432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15212363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I509563Medicare PIN
TN103I509565Medicare PIN
TN10350I9564Medicare PIN
TN10350I5510Medicare PIN
TN103I509561Medicare PIN