NPI 1730508201 · live from the CMS NPI Registry
Aseracare Hospice - Tennessee, LLC
Nurse Practitioner in Clarksville, TN. National Provider Identifier 1730508201, active.
NPI record
| NPI | 1730508201 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 1539 Ashland City Rd Ste C, Clarksville, TN 37040 |
| Practice phone | 931-551-4100 |
| Mailing address | 3854 American Way Ste A, Baton Rouge, LA 70816 |
| Enumerated | April 14, 2014 |
| Last updated | July 6, 2020 |
| Authorized official | Paul Kusserow, President |
| Other names | Prime By Aseracare |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Emergency Medicine, Hospice and Palliative Medicine | 207PH0002X | — |
| Family Medicine, Hospice and Palliative Medicine | 207QH0002X | — |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | — |
| Physical Medicine & Rehabilitation, Hospice and Palliative Medicine | 2081H0002X | — |
| Psychiatry & Neurology, Hospice and Palliative Medicine | 2084H0002X | — |
| Surgery, Hospice and Palliative Medicine | 2086H0002X | — |
| Nurse Practitioner primary | 363L00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.