Individual provider · Type 1 NPI
John Ethan Boston, MSN, AGACNP-BC
Gerontology Nurse Practitioner · Nashville, TN
NPI number
1487329884
Active
Practice location
3601 The Vanderbilt Clinic
Nashville, TN 37232-2106
Mailing address
3841 Green Hills Village Dr Ste 200
Nashville, TN 37215-2691
Other practice locations
- 4906 Illinois Ave, Nashville, TN 37209-2106 · (256) 476-2545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 28572 (TN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 28572 (TN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1487329884
John Ethan Boston, MSN, AGACNP-BC's National Provider Identifier is 1487329884, issued on Aug 9, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Nashville, TN. The record was last updated on Jan 23, 2023.