Jack Dempsey Hydrick in Murfreesboro - Family
Jack Dempsey Hydrick - NPI 1053382648
Jack Dempsey Hydrick is a Family in Murfreesboro, Tennessee. Jack Dempsey Hydrick practices all healthcare services and medical treatments related to Family. The NPI Number for Jack Dempsey Hydrick is 1053382648. The last update date is 2015-12-01.
Jack Dempsey Hydrick's current location address is 2910 South Church St, Murfreesboro, Tennessee. You can contact this provider via phone number 6158953600 and fax number 6158950024. The mailing address for Jack Dempsey Hydrick is 2910 South Church St, Murfreesboro, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Dempsey Hydrick |
|---|---|
| Address | 2910 South Church St, Murfreesboro, Tennessee |
| Phone Number | 6158953600 |
| Fax Number | 6158950024 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1053382648 |
|---|---|
| Provider Enumeration Date | 2006-01-31 |
| Last Updated Date | 2015-12-01 |
Provider Mailing Address Detail
| Address | 2910 South Church St |
|---|---|
| City | Murfreesboro |
| State | Tennessee (TN) |
| Post Code | 37127 |
| Phone Number | 6158953600 |
| Fax Number | 6158950024 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 7765 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4095318 | TN | BCBS | |
| 3907988 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jack Dempsey Hydrick by the Centers for Medicare & Medicaid Services (CMS)?
The Jack Dempsey Hydrick has been assigned the NPI (National Provider Identifier) 1053382648. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Jack Dempsey Hydrick is physically located?
The Jack Dempsey Hydrick is situated at the following address: 2910 South Church St, Murfreesboro, TN 37127.
What is the Jack Dempsey Hydrick's specialty and taxonomy code?
The Jack Dempsey Hydrick's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date was the 1053382648 assigned to Jack Dempsey Hydrick?
The Jack Dempsey Hydrick was issued its 1053382648 on 2006-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jack Dempsey Hydrick most recently updated or refreshed?
The details pertaining to the Jack Dempsey Hydrick, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-12-01.
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