Urban Elite Rejuvenation and Aesthetics, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

URBAN ELITE REJUVENATION AND AESTHETICS, LLC

Practice address

2910 S Church St Ste B
Murfreesboro, TN 37127-7149

Phone

(615) 623-9600

Fax

(615) 777-9366

NPI assigned

Apr 23, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jack D Hydrick II, NPNPI 1053382648

Title

General Partner

Phone

(615) 623-9600

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack Dempsey Hydrick II, FNP

  • Family Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1053382648
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1083401897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 S CHURCH ST STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277149",
            "telephone_number": "615-623-9600",
            "fax_number": "615-777-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 S CHURCH ST STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277149",
            "telephone_number": "615-623-9600",
            "fax_number": "615-777-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN ELITE REJUVENATION AND AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "HYDRICK",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "615-623-9600",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.