Individual provider · Type 1 NPI

Ethan William Peck

Physician Assistant · Nashville, TN

NPI number 1912878455 Active

Practice location

865 Bellevue Rd Apt J14
Nashville, TN 37221-2774

Call (586) 531-0491 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1912878455

Ethan William Peck's National Provider Identifier is 1912878455, issued on Sep 17, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Nashville, TN. The record was last updated on Sep 17, 2025.