# LARRY REDFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1710600226
- **Gender:** Man
- **Credential:** PNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 32040 | TN | Yes |
| 364SM0705X | Medical-Surgical Clinical Nurse Specialist | 32040 | TN | — |

## Other

- **Enumeration date:** 09/20/2022
- **Last updated:** 07/21/2025