Provider Demographics
NPI:1033070560
Name:STROOP MED LLC
Entity type:Organization
Organization Name:STROOP MED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:STROOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-767-1666
Mailing Address - Street 1:3072 OXFORD DR
Mailing Address - Street 2:
Mailing Address - City:MT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-8577
Mailing Address - Country:US
Mailing Address - Phone:615-767-1666
Mailing Address - Fax:
Practice Address - Street 1:3072 OXFORD DR
Practice Address - Street 2:
Practice Address - City:MT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-8577
Practice Address - Country:US
Practice Address - Phone:615-767-1666
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty