Provider Demographics
NPI:1811330574
Name:WEBB, LAUREN (FNP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:WEBB
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 1:105 GLEN OAK BLVD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-6424
Mailing Address - Country:US
Mailing Address - Phone:615-264-7015
Mailing Address - Fax:
Practice Address - Street 1:105 GLEN OAK BLVD
Practice Address - Street 2:SUITE 204
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-6424
Practice Address - Country:US
Practice Address - Phone:615-264-7015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000017538363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily