Individual
ETHAN JAMES GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 LEBANON PIKE, MURFREESBORO, TN 37129
(615) 867-6000
Mailing address
3400 LEBANON PIKE, MURFREESBORO, TN 37129
(615) 867-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
215339
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
30497
TN
Other
Enumeration date
04/17/2020
Last updated
03/18/2025
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