Provider Demographics
NPI:1245600261
Name:NOBLE, SOPHIA (FNP-C)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:
Last Name:NOBLE
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8767 BECCA PT
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-1629
Mailing Address - Country:US
Mailing Address - Phone:901-830-8850
Mailing Address - Fax:
Practice Address - Street 1:2855 STAGE VILLAGE CV STE 5
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-4616
Practice Address - Country:US
Practice Address - Phone:901-245-1975
Practice Address - Fax:901-688-2098
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN20433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily