Individual
DR. NICOLE GRIGGS DESISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 12TH AVE S, NASHVILLE, TN 37203-4922
(615) 936-5000
Mailing address
1215 21ST AVE S, NASHVILLE, TN 37232-0014
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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