Provider Demographics
NPI:1861456428
Name:HIBBS, FRANCES ELAINE (FNP)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:ELAINE
Last Name:HIBBS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 ADAMS ST
Mailing Address - Street 2:FAIRVIEW MEDICAL GROUP
Mailing Address - City:FAIRVIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37062
Mailing Address - Country:US
Mailing Address - Phone:615-799-1927
Mailing Address - Fax:615-799-9771
Practice Address - Street 1:7100 ADAMS ST.
Practice Address - Street 2:FAIRVIEW MEDICAL GROUP
Practice Address - City:FAIRVIEW
Practice Address - State:TN
Practice Address - Zip Code:37062
Practice Address - Country:US
Practice Address - Phone:615-799-1927
Practice Address - Fax:931-670-6527
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000067615363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4041420OtherBLUE CROSS BLUE SHIELD TN
TN4041420OtherBLUE CROSS BLUE SHIELD TN
P12990Medicare UPIN
TNP12990Medicare UPIN