Provider Demographics
NPI:1568290476
Name:BABCOCK, SUZANNE CARR (NP)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:CARR
Last Name:BABCOCK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:MICHELLE
Other - Last Name:CARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5221 PORT ROYAL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-3512
Mailing Address - Country:US
Mailing Address - Phone:615-791-2380
Mailing Address - Fax:615-791-2384
Practice Address - Street 1:5221 PORT ROYAL RD STE 200
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-3512
Practice Address - Country:US
Practice Address - Phone:615-791-2380
Practice Address - Fax:615-791-2384
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN249627163WE0003X
TN36847363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency