Dube, Nicole Pewitt

Dube, Nicole Pewitt is an individual health care provider with primary practice located at 302 Old Lebanon Dirt Rd Ste 200 , Hermitage TN 37076-2391. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dube, Nicole Pewitt can be contacted via phone (615) 391-4545.

Contact Information

Primary practice address
302 Old Lebanon Dirt Rd Ste 200 Hermitage TN 37076-2391
Phone: (615) 391-4545
Fax: (615) 391-4546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN000017888 Tennessee

Profile Details

NPI number 1790111383
LBN Legal business name Dube, Nicole Pewitt
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2013
Last updated Nov 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790111383 NPPES
Tennessee MEDICAID Q009385
Tennessee Other 6022421
Tennessee MEDICAID 7100348020

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