Individual
HEIDI R. NUSSBAUMER-STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
647 DUNLOP LN, SUITE 100, CLARKSVILLE, TN 37040-5165
(931) 551-8991
(931) 551-4053
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 851-6033
(615) 851-2018
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
127389
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6046859
BCBS
TN
05
—
Q015246
—
TN
Enumeration date
06/20/2006
Last updated
05/11/2017
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