# VANDERBILT UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104206135
- **Authorized official:** SARA ELIZABETH DORRIS (NURSE PRACTITIONER)
- **Authorized official phone:** (931) 703-7872

## Contact information

- **Practice address:** 62 PARKS LN, FAYETTEVILLE, TN 37334-6642
- **Practice address phone:** (931) 703-7872
- **Mailing address:** 62 PARKS LN, FAYETTEVILLE, TN 37334-6642
- **Mailing address phone:** (931) 703-7872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 19947 | TN | Yes |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 06/04/2015