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Individual

EDLEWORK DESTA TAFESSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
601 BENTON AVE, NASHVILLE, TN 37204-2303
(615) 292-9770
(615) 292-9706

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
162348
TN

Other

Enumeration date
11/03/2022
Last updated
02/24/2026
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