Organization
TRUADVANTAGE MISSOURI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BRADLEY (AUTHORIZED OFFICIAL)
(615) 905-5200
Entity
Organization
Contact information
Practice address
201 JORDAN ROAD, FRANKLIN, TN 37067
(615) 905-5200
Mailing address
1971 TENNESSEE AVE N, PARSONS, TN 38363
(731) 847-1356
(731) 847-4200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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