Shelbyville Hospital Corporation
Organization Active NPI Nurse Practitioner · Wartrace, TN
NPI 1487716890 · NPPES record last updated Jul 8, 2008
Key facts
- NPI
- 1487716890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- SHELBYVILLE HOSPITAL CORPORATION
- Practice address
- 507 Blackman Blvd W
Wartrace, TN 37183-2210 - Phone
- (931) 389-0600
- Fax
- (931) 389-6781
- NPI assigned
- Dec 14, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SHELBYVILLE HOSPITAL CORPORATION
Authorized official
- Name
- Jennifer Bombardi-Mount, CFNP
- Title
- Nurse Practitioner
- Phone
- (931) 389-0600
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Lynchburg Family Medicine
- Part of
- Lynchburg Family Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | TN | Yes |
Addresses
Primary practice location
507 Blackman Blvd W
Wartrace, TN 37183-2210
Mailing address
PO Box 403621
Atlanta, GA 30384-3621
Phone (931) 389-0600
Other names
- Wartrace Family Practice Center
Other providers in Wartrace, TN
- Elysian Farms Counseling, LLC
- Ellaleigh Bjork Hall
- Lacy Moore
- Shelbyville Hospital Company LLC
- Shelbyville Hospital Company LLC
- Shelbyville Hospital Corporation
- Shouthern Transport, LLC
- Vanderbilt Bedford Hospital, LLC
- Wartrace Family Practice LLC
All providers in Wartrace, TN · Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.