Provider Demographics
NPI:1902392699
Name:NASHVILLE HEALTH PRO, LLC
Entity Type:Organization
Organization Name:NASHVILLE HEALTH PRO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMERA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:THOENER
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:629-888-3256
Mailing Address - Street 1:7051 HIGHWAY 70 S # 112
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2207
Mailing Address - Country:US
Mailing Address - Phone:615-888-3256
Mailing Address - Fax:615-249-3429
Practice Address - Street 1:915 HARPETH VALLEY PL
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-1141
Practice Address - Country:US
Practice Address - Phone:629-888-3256
Practice Address - Fax:615-249-3429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ021787Medicaid