Provider Demographics
NPI:1912056169
Name:HULL, WENDY HEATHER (MSN, RN, GNP-BC)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:HEATHER
Last Name:HULL
Suffix:
Gender:F
Credentials:MSN, RN, GNP-BC
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:HEATHER
Other - Last Name:SIMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 COMMERCE ST STE 700
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37201-1835
Mailing Address - Country:US
Mailing Address - Phone:615-454-9850
Mailing Address - Fax:
Practice Address - Street 1:4830 W KENNEDY BLVD STE 600
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609
Practice Address - Country:US
Practice Address - Phone:888-273-1649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAN360297740363LG0600X
OR200750058NP363LG0600X
FLARNP9372607363LG0600X
TX706365363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR274367Medicaid
TX2006009857OtherANCC GNP CERTIFICATION
OR274367Medicaid
TX2006009857OtherANCC GNP CERTIFICATION