Provider Demographics
NPI:1558388983
Name:FARRAN, NICOLE ANNE NEFFGEN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:ANNE NEFFGEN
Last Name:FARRAN
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MISS
Other - First Name:NICOLE
Other - Middle Name:ANNE
Other - Last Name:NEFFGEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:4651 NOLENSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5205
Mailing Address - Country:US
Mailing Address - Phone:615-833-2000
Mailing Address - Fax:615-332-8447
Practice Address - Street 1:4651 NOLENSVILLE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5205
Practice Address - Country:US
Practice Address - Phone:615-833-2000
Practice Address - Fax:615-332-8447
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000011599363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4247097OtherBCBS OF TENNESSEE
TNAPN0000011599OtherNURSE PRACTITIONER