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Contact Information

JACK D HYDRICK II, FNP
2910 SOUTH CHURCH ST
STE B
MURFREESBORO, TN37127
 Phone: 615-895-3600
 Fax: 615-895-0024
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACK D HYDRICK II · (Male)

NPI # 1053382648
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 01/31/2006
Last updated 12/01/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 7765
  • TN Medicaid 3907988
  • TN Other 4095318 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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