Individual
TRACIE THIBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2010 CHURCH ST, STE. 201, NASHVILLE, TN 37203-2012
(615) 284-2800
(615) 284-2883
Mailing address
300 20TH AVE N, SUITE 702, NASHVILLE, TN 37203-2131
(615) 284-8636
(615) 284-8637
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
APRN06288
TN
363L00000X
Nurse Practitioner
Primary
APRN06288
TN
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN06288
TN
Other
Enumeration date
10/09/2006
Last updated
04/14/2026
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