Provider Demographics
NPI:1013097518
Name:HEWGLEY, STEPHANIE L (APN)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:L
Last Name:HEWGLEY
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 HART LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37247-0801
Mailing Address - Country:US
Mailing Address - Phone:615-650-7037
Mailing Address - Fax:615-262-6139
Practice Address - Street 1:710 HART LANE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37247-0801
Practice Address - Country:US
Practice Address - Phone:615-650-7000
Practice Address - Fax:615-264-6139
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5624163WG0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5624OtherAPN
TN53614OtherRN
TN53614OtherRN