Spackman, Darice R

Spackman, Darice R is an individual health care provider with primary practice located at 330 22Nd Ave N , Nashville TN 37203-1844. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Spackman, Darice R can be contacted via phone (615) 320-0007.

Contact Information

Primary practice address
330 22Nd Ave N Nashville TN 37203-1844
Phone: (615) 320-0007
Fax: (615) 320-0009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 949 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 949 Tennessee

Profile Details

NPI number 1689656910
LBN Legal business name Spackman, Darice R
Credentials PAC ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jan 23rd, 2015 - about 10 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 1689656910 NPPES
Tennessee Other 4166893 BCBS
Tennessee Other 4193033 BCBS
Tennessee MEDICAID 1504589 BCBS

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