Organization · Type 2 NPI
Heritage Medical Care
Primary Care Nurse Practitioner · Sparta, TN
NPI number
1184549693
Active
Practice location
521 Ben Lomand Dr Ste B
Sparta, TN 38583-1592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1184549693
Heritage Medical Care's National Provider Identifier is 1184549693, issued on Aug 12, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Sparta, TN. The record was last updated on Aug 12, 2026.