Provider Demographics
NPI:1336648005
Name:SANCHEZ, ADRIANA (FNP - C)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:FNP - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5120 HIGHWAY 153
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-4520
Mailing Address - Country:US
Mailing Address - Phone:423-876-9396
Mailing Address - Fax:
Practice Address - Street 1:5120 HIGHWAY 153
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4520
Practice Address - Country:US
Practice Address - Phone:423-876-9396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95008388363LF0000X
TN32895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily