Individual provider · Type 1 NPI

Nicole Griggs Desisto, MD

Student in an Organized Health Care Education/Training Program · Nashville, TN

NPI number 1083453716 Active

Practice location

1215 12th Ave S
Nashville, TN 37203-4922

Mailing address

1215 21st Ave S
Nashville, TN 37232-0014

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083453716

Nicole Griggs Desisto, MD's National Provider Identifier is 1083453716, issued on May 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Nashville, TN. The record was last updated on May 22, 2024.