Provider Demographics
NPI:1598370801
Name:FOX, HANNA (FNP)
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:HANNA
Other - Middle Name:
Other - Last Name:TWEEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3615 PETWAY RD
Mailing Address - Street 2:
Mailing Address - City:ASHLAND CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37015-6214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:410 N PARRISH PL STE 3000
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-1005
Practice Address - Country:US
Practice Address - Phone:615-590-9503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-14
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN28145363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily