Provider Demographics
NPI:1982729042
Name:BOOTHE, EFFIE JONES (MSN)
Entity Type:Individual
Prefix:MRS
First Name:EFFIE
Middle Name:JONES
Last Name:BOOTHE
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 WILLOW TRACE DR
Mailing Address - Street 2:
Mailing Address - City:WHITES CREEK
Mailing Address - State:TN
Mailing Address - Zip Code:37189-9200
Mailing Address - Country:US
Mailing Address - Phone:615-876-5821
Mailing Address - Fax:
Practice Address - Street 1:425 5TH AVE N
Practice Address - Street 2:1ST FL., CORDELL HULL BLDG.
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37243-0001
Practice Address - Country:US
Practice Address - Phone:615-741-7247
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000064894163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice