Individual provider · Type 1 NPI

Carissa Seybolt

Gerontology Nurse Practitioner · Nashville, TN

NPI number 1730075946 Active

Practice location

3601 The Vanderbilt Clinic
Nashville, TN 37232-0001

Mailing address

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

Other practice locations

  • 6331 Columbia Ave Unit B, Nashville, TN 37209-1709 · (712) 490-0457

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X40084 (TN)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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About NPI 1730075946

Carissa Seybolt's National Provider Identifier is 1730075946, issued on Jun 16, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Nashville, TN. The record was last updated on Dec 15, 2025.