Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROVIDENCE PEDIATRICS, LLC
Active OrganizationPROVIDENCE PEDIATRICS, LLC is a Nurse Practitioner organization located in GRAY, Tennessee. NPI 1821497942 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · GRAY, TN
Registration Details
- NPI Number
- 1821497942
- Provider Type
- Organization
- NPI Issued
- Aug 14, 2014 (11.817672119934 yrs)
- Last Updated
- Aug 14, 2014
- License
-
6966 (TN)
Practice Information
- Address
-
140 OLD GRAY STATION ROADSUITE 200GRAY, TN, 376153612Browse TN providers · Browse ZIP 37615
- Phone
- 4234772042
- Fax
- 4234774571
- Primary Specialty
-
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.