Individual
JOSE CARLOS CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2127 CENTURY FARMS PKWY, ANTIOCH, TN 37013-4197
(615) 781-4000
Mailing address
2127 CENTURY FARMS PKWY, ANTIOCH, TN 37013-4197
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
220263
TN
363LF0000X
Family Nurse Practitioner
Primary
40100
TN
Other
Enumeration date
02/25/2025
Last updated
10/26/2025
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