Individual
MR. BEAU CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
602 RED BOILING SPRINGS RD, LAFAYETTE, TN 37083-1316
(615) 237-5410
(615) 237-5411
Mailing address
PO BOX 81, CASTALIAN SPRINGS, TN 37031-0081
(615) 237-5410
(615) 237-5411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8375
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q000435
—
TN
Enumeration date
06/09/2005
Last updated
04/15/2025
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