Individual
MS. GINA T MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
181 E MAIN ST, SUITE 4, HENDERSONVILLE, TN 37075-3895
(615) 824-4400
(615) 824-6477
Mailing address
181 E MAIN ST, SUITE 4, HENDERSONVILLE, TN 37075-3895
(615) 824-4400
(615) 824-6477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000007604
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39284751
MEDICARE PTAN
TN
Enumeration date
05/17/2007
Last updated
03/02/2011
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