Individual
KATIA X PENDERGRASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
397 WALLACE RD STE 407, NASHVILLE, TN 37211-8028
(615) 942-1040
(615) 942-1060
Mailing address
397 WALLACE RD STE 407, NASHVILLE, TN 37211-8028
(615) 942-1040
(615) 942-1060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33600
TN
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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