<Unavail>

LBN: Hwv Primary Care Clinic, Pllc
<Unavail> is an health care organization with primary practice located at 3139 Lebanon Pike , Nashville TN 37214-2314. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Hwv Primary Care Clinic, Pllc can be contacted via phone (615) 357-0139, or through Marshall, Deressa Lee via phone (731) 326-2503.

Contact Information

Primary practice address
3139 Lebanon Pike Nashville TN 37214-2314
Phone: (615) 357-0139
Fax: (615) 357-0257
Website:
Map and Directions
Authorized official contact:
Name: Marshall, Deressa Lee FNP-C
Phone: (731) 326-2503

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1073050951
LBN Legal business name Hwv Primary Care Clinic, Pllc
DBA Doing business as <Unavail>
Authorized official Marshall, Deressa Lee FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2017
Last updated Jul 26th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073050951 NPPES
Tennessee MEDICAID Q041062
Tennessee MEDICAID Q041043

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