Provider Demographics
NPI:1558796102
Name:NOVO HEALTHCARE, LLC
Entity Type:Organization
Organization Name:NOVO HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURSE PRACTITIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:WINDLE
Authorized Official - Middle Name:HOGUE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-BC
Authorized Official - Phone:615-860-0808
Mailing Address - Street 1:223 MADISON ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-3665
Mailing Address - Country:US
Mailing Address - Phone:615-860-0808
Mailing Address - Fax:615-860-0809
Practice Address - Street 1:223 MADISON ST
Practice Address - Street 2:SUITE 103
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-3665
Practice Address - Country:US
Practice Address - Phone:615-860-0808
Practice Address - Fax:615-860-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN13885103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty