Organization
HWV PRIMARY CARE CLINIC, PLLC
Active
Other names
Health and Wellness at the Village, PLLC, HWV Family Practice , PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DERESSA LEE MARSHALL FNP-C (OWNER/APRN)
(731) 326-2503
Entity
Organization
Contact information
Practice address
3139 LEBANON PIKE, NASHVILLE, TN 37214-2314
(615) 357-0139
(615) 357-0257
Mailing address
PO BOX 871, MADISON, TN 37116-0871
(615) 357-0139
(615) 357-0257
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q041043
—
TN
05
—
Q041062
—
TN
Enumeration date
01/30/2017
Last updated
07/26/2019
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