# CLEAR GLASS, LLC

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

## Provider details

- **NPI number:** 1376811059
- **Authorized official:** MR. MALCOLM BRIAN GLASS APN (ADVANCE PRACTICE NURSE)
- **Authorized official phone:** (615) 596-7654

## Contact information

- **Practice address:** 510 HOSPITAL DR, SUITE 304, MADISON, TN 37115-5033
- **Practice address phone:** (615) 596-7654
- **Practice address fax:** (615) 712-7639
- **Mailing address:** 121 TYNE BAY DR, HENDERSONVILLE, TN 37075-4034
- **Mailing address phone:** (615) 596-7654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 13198 | TN | Yes |

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 05/17/2013