Provider Demographics
NPI:1730623893
Name:HESTERMANN, ALISSA KAY (DNP, FNP-C, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ALISSA
Middle Name:KAY
Last Name:HESTERMANN
Suffix:
Gender:F
Credentials:DNP, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5620 TRACESIDE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-4096
Mailing Address - Country:US
Mailing Address - Phone:402-990-6369
Mailing Address - Fax:
Practice Address - Street 1:5620 TRACESIDE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37221-4096
Practice Address - Country:US
Practice Address - Phone:402-990-6369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-08
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131556363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily