WESTSIDE FAMILY MEDICAL - NPI 1144742842 - Nurse Practitioner in Tullahoma, TN

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

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About Westside Family Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTSIDE FAMILY MEDICAL (NPI 1144742842) is a healthcare organization registered as a family in Tullahoma, Tennessee and active in the NPI registry since July 2017. The organization lists Leslie Lynette Myers, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1144742842

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameWESTSIDE FAMILY MEDICAL

Location Address104 WESTSIDE DRTullahoma, TN 37388-3253

Mailing Address160 Crestview DrWinchester, TN 37398-2566 · (931) 636-3176

Phone(931) 636-3176

Organization SubpartNo

Authorized OfficialLeslie Lynette MyersNurse Practitioner · (931) 636-3176

Enumeration DateJuly 13, 2017

✔ NPI 1144742842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in TN · 20413✔ Licensed in TN · 19352

104 WESTSIDE DR, Tullahoma, TN 37388

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Other Identifiers 2

Medicaid1053780478TN

Medicaid1255720421TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is WESTSIDE FAMILY MEDICAL's NPI number?

The NPI number assigned to this healthcare provider is 1144742842, enumerated as an "organization" on July 13, 2017.

Where is the provider located?

The provider is located at 104 WESTSIDE DR TULLAHOMA, TN 37388 and the phone number is (931) 636-3176.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

What insurance does WESTSIDE FAMILY MEDICAL accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.