Individual provider · Type 1 NPI

Roathipoun Po, AGACNP-BC

Gerontology Nurse Practitioner · Nashville, TN

NPI number 1407460074 Active

Practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-2020

Mailing address

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

Other practice locations

  • 1215 21st Ave S, Nashville, TN 37232-2020 · (615) 322-5000
  • 4230 Harding Pike Ste 200, Nashville, TN 37205-2020 · (615) 964-5864

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X188273 (TN)
Acute Care Nurse Practitioner 363LA2100X28231 (TN)
Gerontology Nurse Practitioner Primary 363LG0600X28231 (TN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1407460074

Roathipoun Po, AGACNP-BC's National Provider Identifier is 1407460074, issued on Sep 1, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Nashville, TN. The record was last updated on Jul 24, 2025.