Organization · Type 2 NPI

Shelbyville Hospital Corporation

Nurse Practitioner · Wartrace, TN

NPI number 1487716890 Active

Practice location

507 Blackman Blvd W
Wartrace, TN 37183-2210

Call (931) 389-0600 Map

Fax (931) 389-6781

Mailing address

PO Box 403621
Atlanta, GA 30384-3621

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…

7 other providers at this address

NPI record

NPI: 1487716890
Entity type: Organization (Type 2)
Issued: Dec 14, 2006
Last updated: Jul 8, 2008
Status: Active
Subpart: Yes of Shelbyville Hospital Corporation

Other names

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Wartrace Family Practice Center · doing business as

Authorized official

Jennifer Bombardi-Mount, CFNP
Nurse Practitioner
(931) 389-0600

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 1487716890

Shelbyville Hospital Corporation's National Provider Identifier is 1487716890, issued on Dec 14, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wartrace, TN. The record was last updated on Jul 8, 2008.