Individual
TANEESHA DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM APRN
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-1333
(615) 936-2000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
3006860
KY
367A00000X
Advanced Practice Midwife
Primary
APN0000016007
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526877
—
TN
Enumeration date
02/24/2011
Last updated
04/04/2022
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