Organization
EVERGREEN NEPHROLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN FIELDSTEIN MD (OWNER)
(240) 643-0900
Entity
Organization
Contact information
Practice address
210 ATHENS WAY STE 200, NASHVILLE, TN 37228-1308
(515) 270-3505
(833) 633-1290
Mailing address
210 ATHENS WAY STE 200, NASHVILLE, TN 37228-1308
(515) 270-3505
(833) 633-1290
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
133V00000X
Registered Dietitian
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
183500000X
Pharmacist
—
—
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
213E00000X
Podiatrist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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