Organization · Type 2 NPI

Vanderbilt Integrated Providers

Nurse Practitioner · Tullahoma, TN

NPI number 1255463949 Active

Practice location

1440 Cedar Ln
Tullahoma, TN 37388-2485

Mailing address

3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691

Other practice locations

  • 4235 Fort Campbell Blvd, Hopkinsville, KY 42240-9339 · (270) 885-8445

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed
Pediatric Nurse Practitioner 363LP0200XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1255463949

Vanderbilt Integrated Providers's National Provider Identifier is 1255463949, issued on Mar 9, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tullahoma, TN. The record was last updated on Jun 29, 2026.