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COOKEVILLE CENTER FOR PAIN MANAGEMENT PC NPI 1215272547


NPI Information

NPI: 1215272547
Provider Name: COOKEVILLE CENTER FOR PAIN MANAGEMENT PC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
580 S JEFFERSON AVE
COOKEVILLE, TN
ZIP 38501
Phone: (931) 526-7104
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COOKEVILLE CENTER FOR PAIN MANAGEMENT PC is a family nurse practitioner in Cookeville, TN. COOKEVILLE CENTER FOR PAIN MANAGEMENT PC NPI is 1215272547. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

580 S JEFFERSON AVE
COOKEVILLE, TN
ZIP 38501-672
Phone: (931) 526-7104
Fax: (931) 526-7105

The provider's authorized official is Charlotte D Marks .
The authorized official title is Billing Manager and has the following contact phone number (931) 526-7104.

The enumeration date for this NPI number is 11/27/2012 and was last updated on 2/20/2013.


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
1208VP0000XPain MedicinePain MedicineTENNESSEENo
2363LF0000XNurse PractitionerFamilyTENNESSEEYes

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

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.