Provider Demographics
NPI:1780800961
Name:BLEDSOE, APRIL K (FNP)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:K
Last Name:BLEDSOE
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:PO BOX 689022
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37068-9022
Mailing Address - Country:US
Mailing Address - Phone:615-778-8540
Mailing Address - Fax:615-628-6877
Practice Address - Street 1:507 BLACKMAN BLVD W
Practice Address - Street 2:
Practice Address - City:WARTRACE
Practice Address - State:TN
Practice Address - Zip Code:37183
Practice Address - Country:US
Practice Address - Phone:931-389-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000011750363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1519149Medicaid