Individual
DR. LORI SUZANNE SOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, PMHNP-BC
Contact information
Practice address
1100 TED A CROZIER SR BLVD, SUITE C, CLARKSVILLE, TN 37043-8912
(931) 919-3361
(931) 919-3362
Mailing address
1100 TED A CROZIER SR BLVD, SUITE C, CLARKSVILLE, TN 37043-8912
(931) 919-3361
(931) 919-3362
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0000129156
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0000008121
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3008447
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103I504505
MEDICARE
TN
01
—
3008447
KENTUCKY APRN LICENSE #
KY
05
—
30602015
—
KY
01
—
8121
TENNESSEE APRN LICENSE #
TN
01
—
K115570
MEDICARE
KY
05
—
Q001572
—
TN
Enumeration date
10/03/2006
Last updated
10/20/2014
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