Provider Demographics
NPI:1639266745
Name:TOMPKINS, LAURIE A (APRN)
Entity Type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:A
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PEWITT DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3271
Mailing Address - Country:US
Mailing Address - Phone:615-852-6080
Mailing Address - Fax:855-896-8607
Practice Address - Street 1:150 PEWITT DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-3271
Practice Address - Country:US
Practice Address - Phone:615-852-6080
Practice Address - Fax:855-896-8607
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5973363LW0102X
TNAPN05973363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
S60009Medicare UPIN