MATRIX WELLNESS SOLUTIONS NPI 1699046235

NPI Information

NPI: 1699046235
Provider Name: MATRIX WELLNESS SOLUTIONS
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
384 CARRIAGE HOUSE DR STE D
SUITE D
JACKSON, TN
ZIP 38305
Phone: (731) 256-2006
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MATRIX WELLNESS SOLUTIONS is a gerontology nurse practitioner in Jackson, TN. MATRIX WELLNESS SOLUTIONS NPI is 1699046235. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

384 CARRIAGE HOUSE DR STE D
SUITE D
JACKSON, TN
ZIP 38305-268
Phone: (731) 256-2006
Fax: (731) 256-2007

The provider's authorized official is David Brian Hughes .
The authorized official title is C0-owner and has the following contact phone number (731) 571-8808.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 1/12/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APN 007296	TENNESSEE	No
2	363LG0600X	Nurse Practitioner	Gerontology	APN0013215	TENNESSEE	Yes

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

NPI Synchronization or Removal

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