Organization · Type 2 NPI
Providence Pediatrics, LLC
Nurse Practitioner · Gray, TN
Practice location
140 Old Gray Station Road, Suite 200
Gray, TN 37615-3612
Fax (423) 477-4571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 6966 (TN) |
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…
About NPI 1821497942
Providence Pediatrics, LLC's National Provider Identifier is 1821497942, issued on Aug 14, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gray, TN. The record was last updated on Aug 14, 2014.