Individual
GAYLE LYNN HARDWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9615 PORTOFINO DRIVE, BRENTWOOD, TN 37027
(731) 607-3246
Mailing address
855 WAYNE RD STE B, SAVANNAH, TN 38372-1530
(731) 925-4973
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14125
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103I501996
—
TN
01
—
4259849
BCBS
TN
Enumeration date
04/28/2009
Last updated
02/08/2012
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