Individual
MARK J PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1211-22ND AVENUE, 3255 VUH, NASHVILLE, TN 37232-7075
(615) 343-6770
Mailing address
3601 TVC, NASHVILLE, TN 37232-0001
(615) 322-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN9053
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4082216
IND BC NUMBER
TN
Enumeration date
11/17/2006
Last updated
09/17/2012
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