Organization · Type 2 NPI

LHCG Clxii, LLC

Nurse Practitioner · Cordova, TN

NPI number 1023620739 Active

Practice location

8000 Centerview Pkwy Ste 405
Cordova, TN 38018-4227

Call (901) 343-8100 Map

Fax (901) 343-8099

Mailing address

PO Box 51266
Lafayette, LA 70505-1266

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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NPI record

NPI: 1023620739
Entity type: Organization (Type 2)
Issued: Aug 24, 2020
Last updated: Jul 3, 2024
Status: Active

Other names

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Baptist Trinity Palliative Care · doing business as
Baptist Trinity Palliative Care · doing business as

Authorized official

Joshua L Proffitt
President
(337) 233-1307

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023620739

LHCG Clxii, LLC's National Provider Identifier is 1023620739, issued on Aug 24, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cordova, TN. The record was last updated on Jul 3, 2024.