Provider Demographics
NPI:1265781868
Name:KOVALIK, ADRIANA K (RN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ADRIANA
Middle Name:K
Last Name:KOVALIK
Suffix:
Gender:F
Credentials:RN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 HEMLOCK RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37821-6558
Mailing Address - Country:US
Mailing Address - Phone:423-608-2625
Mailing Address - Fax:
Practice Address - Street 1:150 4TH AVE N
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-2415
Practice Address - Country:US
Practice Address - Phone:347-294-0581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16899363LF0000X
NC5008424363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN140589Medicaid
30971811Medicare UPIN