# AWAKENING MINDFUL POSSIBILITIES

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

## Provider details

- **NPI number:** 1114255817
- **Authorized official:** JASON MATTHEW TALLMAN MSN, RN, APN-BC (C.E.O./ PRACTITIONER)
- **Authorized official phone:** (931) 380-0677

## Contact information

- **Practice address:** 109 KENSINGTON PL, COLUMBIA, TN 38401-8885
- **Practice address phone:** (931) 380-0677
- **Practice address fax:** (931) 380-0677
- **Mailing address:** 109 KENSINGTON PL, COLUMBIA, TN 38401-8885
- **Mailing address phone:** (931) 380-0677
- **Mailing address fax:** (931) 380-0677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APN0000014483 | TN | Yes |

## Other

- **Enumeration date:** 11/18/2009
- **Last updated:** 11/18/2009