Provider Demographics
NPI:1932669454
Name:HERNANDEZ-CAMPOS, ERICK R (DNP)
Entity Type:Individual
Prefix:
First Name:ERICK
Middle Name:R
Last Name:HERNANDEZ-CAMPOS
Suffix:
Gender:M
Credentials:DNP
Other - Prefix:
Other - First Name:ERICK
Other - Middle Name:
Other - Last Name:CAMPOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP
Mailing Address - Street 1:300 20TH AVE N STE 403
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-5180
Mailing Address - Country:US
Mailing Address - Phone:629-208-6200
Mailing Address - Fax:629-208-6201
Practice Address - Street 1:791 OLD HICKORY BLVD
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4504
Practice Address - Country:US
Practice Address - Phone:629-888-5125
Practice Address - Fax:629-888-5126
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25613363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily