Basic Information
Provider Information
NPI: 1861852204
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COMPTON
FirstName: BETSY
MiddleName: ANNE
NamePrefix: MRS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1800 MEDICAL CENTER PKWY
Address2: STE 200
City: MURFREESBORO
State: TN
PostalCode: 371292566
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1800 MEDICAL CENTER PKWY STE 200
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371292566
CountryCode: US
TelephoneNumber: 6158966800
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/27/2016
LastUpdateDate: 12/02/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X185771TNN Nursing Service ProvidersRegistered Nurse 
363LF0000X20970TNY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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