Provider Demographics
NPI:1245527274
Name:HOOVER, NANCY L (FNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:HOOVER
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 1:6605 STAGE RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-2808
Mailing Address - Country:US
Mailing Address - Phone:901-385-6988
Mailing Address - Fax:901-385-6933
Practice Address - Street 1:6605 STAGE RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-2808
Practice Address - Country:US
Practice Address - Phone:901-385-6988
Practice Address - Fax:901-385-6933
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN112182363LP0200X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily