MR. JACK DEMPSEY HYDRICK II (NPI# 1053382648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053382648 |
| Entity Type | Individual |
| Full Name | MR. JACK DEMPSEY HYDRICK II |
| Credential | FNP |
| Practice Address |
2910 South Church St Ste B Murfreesboro TN 37127 |
| Practice Telephone | 6158953600 |
| Practice Fax Number | 6158950024 |
| Mailing Telephone | 6158953600 |
| Mailing Fax Number | 6158950024 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2015-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7765 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3907988 | 05 | |
| TN | BCBS | 4095318 | 01 |
| Street Address |
2910 SOUTH CHURCH ST STE B |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912978370 | Barfield Family Walk In Clinic | Clinic/Center | 2910 South Church St, Suite B, Murfreesboro, TN 37127-7149 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102101 | Results-ast Jv, LLC | Physical Therapist | 2910 S. Church Street, Suite G, Murfreesboro, TN 37127 | 2020-10-19 |
| 1679042980 | Quasheema Lloyd | Social Worker | 1012 Nimbus Lane, Murfreesboro, TN 37127 | 2018-11-15 |
| 1568851640 | Music City Eye Care LLC | Optometrist | 140 Joe B Jackson Parkway, Murfreesboro, TN 37127 | 2015-01-13 |
| 1467868943 | Sueellen Robinson-cho | Dentist | 2943 South Church Rd., Murfreesboro, TN 37127 | 2014-07-07 |
| 1922424761 | Katie Tipton | Nurse Practitioner | 3163 South Church Street, Murfreesboro, TN 37127 | 2014-03-17 |
| 1588958409 | Tennessee Family Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 1727-1729 Thomas Court, Murfreesboro, TN 37127 | 2011-06-08 |
| 1730570540 | Wal-mart Stores East, Lp | Technician/Technologist | 140 Joe B Jackson Parkway, Murfreesboro, TN 37127 | 2015-02-16 |
| 1386052041 | Tennessee Dental Professionals PC | Dentist | 2943 South Church Rd., Suite E, Murfreesboro, TN 37127 | 2014-07-25 |
| 1720491749 | Lifepoint Pharmacy | Durable Medical Equipment & Medical Supplies | 3163 South Church Street, Murfreesboro, TN 37127 | 2014-06-06 |
| 1245673748 | Margaret Christina Routh | Pediatrics | 3626 Shelbyville Hwy, Murfreesboro, TN 37127 | 2013-04-15 |
| Find all providers in zip 37127 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154367 | Katrina Miller | Nurse Practitioner | 515 Lillard Rd, Murfreesboro, TN 37130-3131 | 2020-11-05 |
| 1992303200 | Halle Mylinda Holloway | Nurse Practitioner | 2255 Memorial Blvd Unit 10885, Murfreesboro, TN 37129-5315 | 2020-10-09 |
| 1821606567 | Attalie Saling | Nurse Practitioner | 2481 Foxfire Ct, Murfreesboro, TN 37129-4949 | 2020-07-20 |
| 1134742661 | Angel Marie Simpson | Nurse Practitioner | 2825 Sterlingshire Dr, Murfreesboro, TN 37128-1404 | 2020-05-19 |
| 1578117560 | Marie Elana Stewart | Nurse Practitioner | 1323 Alamo Ave, Murfreesboro, TN 37129-7691 | 2019-07-28 |
| 1740833441 | Erin M Nolin | Nurse Practitioner | 1512 Carrick Dr, Murfreesboro, TN 37128-7570 | 2019-07-22 |
| 1952953051 | Chloe Simmons | Nurse Practitioner | 112 Bundy Ct, Murfreesboro, TN 37129-4529 | 2019-07-10 |
| 1043871379 | Wenp, Pllc | Nurse Practitioner | 118 Tambark Cir, Murfreesboro, TN 37128-6016 | 2019-06-26 |
| 1184282642 | Brittney Rae Foster | Nurse Practitioner | 2658 New Salem Hwy Ste A11, Murfreesboro, TN 37128-5264 | 2019-05-30 |
| 1093272882 | Anne Rhea Heron | Nurse Practitioner | 2907 Lightning Bug Dr, Murfreesboro, TN 37129-1890 | 2019-02-27 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37127 |
Please comment or provide details below to improve the information on MR. JACK DEMPSEY HYDRICK II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.