Individual
KAYLENE FODRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2400 PATTERSON ST STE 502, NASHVILLE, TN 37203-6511
(615) 515-1900
(615) 292-4633
Mailing address
2400 PATTERSON ST STE 502, NASHVILLE, TN 37203-6511
(615) 515-1900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
39100
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
39100
TN
363LA2200X
Adult Health Nurse Practitioner
39100
TN
363LG0600X
Gerontology Nurse Practitioner
39100
TN
Other
Enumeration date
07/16/2025
Last updated
09/22/2025
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