Individual
RIVER EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1203 N 7TH ST, NASHVILLE, TN 37207-5523
(478) 308-9636
Mailing address
1203 N 7TH ST, NASHVILLE, TN 37207-5523
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
39965
TN
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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