Individual
BRYAN DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5544 OLD HICKORY BLVD, HERMITAGE, TN 37076-2576
(615) 515-0029
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
235998
TN
363LF0000X
Family Nurse Practitioner
Primary
37100
TN
Other
Enumeration date
12/21/2024
Last updated
05/14/2025
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