Individual
ILEANA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
4928 EDMONDSON PIKE STE 205, NASHVILLE, TN 37211-4791
(615) 222-1400
Mailing address
329 ASH GROVE DR, NASHVILLE, TN 37211-6402
(615) 364-2266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25224
TN
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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