Provider Demographics
NPI:1447574249
Name:PEEBLES, VIRGINIA MARGARITA (APN-BC)
Entity Type:Individual
Prefix:MRS
First Name:VIRGINIA
Middle Name:MARGARITA
Last Name:PEEBLES
Suffix:
Gender:F
Credentials:APN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 SAUNDERSVILLE RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-8903
Mailing Address - Country:US
Mailing Address - Phone:615-824-3737
Mailing Address - Fax:
Practice Address - Street 1:176 BRIARWOOD AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CAMDEN
Practice Address - State:TN
Practice Address - Zip Code:38320
Practice Address - Country:US
Practice Address - Phone:731-584-5144
Practice Address - Fax:731-584-7477
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN14833363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0192186OtherBCBSTN-GROUP
TN3719301Medicaid
TN0839170001Medicare NSC
TN3719301Medicare PIN