Organization
UNIVERSITY COMMUNITY HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHANTI WEAVER (CREDENTIALING COORDINATOR)
(615) 649-5709
Entity
Organization
Contact information
Practice address
601 BENTON AVE, NASHVILLE, TN 37204-2303
(615) 292-9770
(615) 385-1842
Mailing address
601 BENTON AVE, NASHVILLE, TN 37204-2303
(615) 292-9770
(615) 385-1842
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3343406
—
TN
Enumeration date
09/26/2006
Last updated
11/06/2024
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