Provider Demographics
NPI:1558531566
Name:ALI, SAMEERAH (FNP)
Entity Type:Individual
Prefix:
First Name:SAMEERAH
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:SYLVIA
Other - Middle Name:SUZETTE
Other - Last Name:HINTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2072 NASHBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3869
Mailing Address - Country:US
Mailing Address - Phone:480-457-0422
Mailing Address - Fax:
Practice Address - Street 1:2072 NASHBORO BLVD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3869
Practice Address - Country:US
Practice Address - Phone:480-457-0422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN 138998163WS0200X
TN0000016706363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WS0200XNursing Service ProvidersRegistered NurseSchool