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PRIMARY CARE PLUS NPI 1548615552


NPI Information

NPI: 1548615552
Provider Name: PRIMARY CARE PLUS
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Organization

Specialization: Acute Care

Address:
291 CLEAR SKY CT
B
CLARKSVILLE, TN
ZIP 37043
Phone: (931) 802-6058
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PRIMARY CARE PLUS is an acute care nurse practitioner in Clarksville, TN. PRIMARY CARE PLUS NPI is 1548615552. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

291 CLEAR SKY CT
B
CLARKSVILLE, TN
ZIP 37043-951
Phone: (931) 802-6058
Fax: (931) 802-6059

The provider's authorized official is Katharine Vachon .
The authorized official title is Owner and has the following contact phone number (931) 802-6058.

The enumeration date for this NPI number is 4/27/2016 and was last updated on 4/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute Care11796TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1103G726066MEDICARE PINTENNESSEE
21517918MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.