FAMILY 1ST CLINIC NPI 1033820832

NPI Information

NPI: 1033820832
Provider Name: FAMILY 1ST CLINIC

Doing Business As: FAMILY 1ST CLINIC PLLC

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3810 CENTRAL PIKE STE 105
HERMITAGE, TN
ZIP 37076
Phone: (615) 300-6915
Get Directions

FAMILY 1ST CLINIC is a primary care clinic center in Hermitage, TN. FAMILY 1ST CLINIC NPI is 1033820832. The provider is registered as an organization entity type.
The provider Is Doing Business As Family 1st Clinic Pllc.

The provider's business location address is:

3810 CENTRAL PIKE STE 105
HERMITAGE, TN
ZIP 37076-495
Phone: (615) 300-6915

The provider's authorized official is Mercy Helen Jaramillo .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (615) 300-6915.

The CLIA number assigned to this NPI record is 44D2274483 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2022 and was last updated on 7/26/2023.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1659761005	MEDICAID	TENNESSEE

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: 5/5/2024

NPI Synchronization or Removal

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