Individual
TRACIE LYNN TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APN, PMHNP-BC
Contact information
Practice address
394 W MAIN ST, SUITE A21, HENDERSONVILLE, TN 37075-3348
(615) 431-2833
(615) 827-0008
Mailing address
394 W MAIN ST, SUITE A21, HENDERSONVILLE, TN 37075-3348
(615) 431-2833
(615) 827-0008
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
167754
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14488
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515762
—
TN
Enumeration date
04/27/2009
Last updated
04/04/2016
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