Basic Information
Provider Information
NPI: 1821376724
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HATCHETT-POPE
FirstName: ROSLYN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 601 BENTON AVE
Address2:  
City: NASHVILLE
State: TN
PostalCode: 37212
CountryCode: US
TelephoneNumber: 6152501430
FaxNumber: 6153851842
Practice Location
Address1: 70 OLD HICKORY BLVD
Address2:  
City: OLD HICKORY
State: TN
PostalCode: 371383159
CountryCode: US
TelephoneNumber: 6158477105
FaxNumber: 6158477519
Other Information
ProviderEnumerationDate: 07/26/2011
LastUpdateDate: 03/17/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X0000114566TNN Nursing Service ProvidersRegistered Nurse 
363LF0000X21096TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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