Hydrick, Jack Dempsey

Hydrick, Jack Dempsey is an individual health care provider with primary practice located at 2910 South Church St Ste B, Murfreesboro TN 37127. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Hydrick, Jack Dempsey can be contacted via phone (615) 895-3600.

Contact Information

Primary practice address
2910 South Church St Ste B Murfreesboro TN 37127
Phone: (615) 895-3600
Fax: (615) 895-0024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7765 Tennessee

Profile Details

NPI number 1053382648
LBN Legal business name Hydrick, Jack Dempsey
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Dec 1st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053382648 NPPES
Tennessee Other 4095318 BCBS
Tennessee MEDICAID 3907988 BCBS

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