Individual
DOMINIQUE DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3443 DICKERSON PIKE, SUITE 250, NASHVILLE, TN 37207-2519
(615) 824-3737
(855) 540-4722
Mailing address
131 SAUNDERSVILLE RD, 160, HENDERSONVILLE, TN 37075-8903
(615) 824-3737
(855) 540-4722
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17624
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6021198
BCBS OF TN
TN
05
—
7100296020
—
KY
05
—
Q007179
—
TN
Enumeration date
02/18/2014
Last updated
08/17/2015
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