# MUSIC CITY PEDS: DEVELOPMENTAL & BEHAVIORAL MEDICINE

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

## Provider details

- **NPI number:** 1417404666
- **Authorized official:** MRS. CAITLIN NICHOLL RISSLER NP (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (615) 207-7986

## Contact information

- **Practice address:** 5409 MARYLAND WAY, SUITE 202, BRENTWOOD, TN 37027-5037
- **Practice address phone:** (615) 373-9955
- **Practice address fax:** (615) 373-2001
- **Mailing address:** 5409 MARYLAND WAY, SUITE 202, BRENTWOOD, TN 37027-5037
- **Mailing address phone:** (615) 373-9955
- **Mailing address fax:** (615) 373-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 21660 | TN | Yes |

## Other

- **Enumeration date:** 09/06/2016
- **Last updated:** 09/06/2016