| Tennesse | |
|
530 Great Circle Rd Nashville TN 37228-1309 | |
| (860) 787-7416 | |
| (855) 803-3522 |
| Full Name | Tennesse |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 530 Great Circle Rd, Nashville, Tennessee |
| Authorized Official Name and Position | Ashley Oaks (OPERATIONS SPECIALIST) |
| Authorized Official Contact | 8607877416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tennesse 530 Great Circle Rd Nashville TN 37228-1309 Ph: (860) 787-7416 | Tennesse 530 Great Circle Rd Nashville TN 37228-1309 Ph: (860) 787-7416 |
| NPI Number | 1538517750 |
|---|---|
| Provider Enumeration Date | 05/27/2016 |
| Last Update Date | 05/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538517750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363L00000X | Nurse Practitioner | (NU) | Primary |
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