Individual
JOHN ETHAN BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGACNP-BC
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-2106
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28572
TN
363LG0600X
Gerontology Nurse Practitioner
Primary
28572
TN
Other
Enumeration date
08/09/2021
Last updated
01/23/2023
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