NICOLE PEWITT DUBE APN NPI 1790111383

NPI Information

  • NPI: 1790111383
  • Provider Name: NICOLE PEWITT DUBE, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 302 OLD LEBANON DIRT RD STE 200
    HERMITAGE, TN
    ZIP 37076
  • Phone: (615) 391-4545

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NPI Details

Nicole Pewitt Dube, APN is a family nurse practitioner in Hermitage, TN. Nicole Pewitt Dube, APN NPI is 1790111383. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

302 OLD LEBANON DIRT RD STE 200
HERMITAGE, TN
ZIP 37076-391
Phone: (615) 391-4545
Fax: (615) 391-4546

The NPI 1790111383 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/16/2013 and was last updated on 11/27/2024.

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
1363LF0000XNurse PractitionerFamilyAPN000017888TENNESSEEYes

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
1Q009385MEDICAIDTENNESSEE
26022421OTHERTENNESSEEBCBS
37100348020MEDICAIDKENTUCKY

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: 3/30/2025

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