Provider Demographics
NPI:1952464349
Name:DECUIR, DESMARIE J (PH D, APRN)
Entity Type:Individual
Prefix:DR
First Name:DESMARIE
Middle Name:J
Last Name:DECUIR
Suffix:
Gender:F
Credentials:PH D, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1889 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-6955
Mailing Address - Country:US
Mailing Address - Phone:901-850-8929
Mailing Address - Fax:
Practice Address - Street 1:BAPTIST HOSPITAL
Practice Address - Street 2:2000 CHURCH STREET
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37236-0001
Practice Address - Country:US
Practice Address - Phone:615-284-5555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11172363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily