Individual
TYLER J HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PNP
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-4520
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
(615) 322-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
32521
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
248604
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R251251
MD LICENSE
MD
Enumeration date
10/08/2021
Last updated
11/08/2023
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